Healthcare Provider Details
I. General information
NPI: 1700529633
Provider Name (Legal Business Name): BEEMNET BELAYNEH NEWAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/19/2022
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3020 14TH ST NW
WASHINGTON DC
20009-6865
US
IV. Provider business mailing address
1100 NEW JERSEY AVE SE STE 500
WASHINGTON DC
20003-3326
US
V. Phone/Fax
- Phone: 202-469-4699
- Fax:
- Phone: 202-469-4699
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD600004377 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: