Healthcare Provider Details

I. General information

NPI: 1801390034
Provider Name (Legal Business Name): MARCEL N. NGOH POST MASTERS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3507 COLLIER RD
BELTSVILLE MD
20705-3816
US

IV. Provider business mailing address

3507 COLLIER RD
BELTSVILLE MD
20705-3816
US

V. Phone/Fax

Practice location:
  • Phone: 443-610-7639
  • Fax: 443-753-1509
Mailing address:
  • Phone: 443-610-7639
  • Fax: 443-610-7639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR4216P
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR213171
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1035173
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: