MR. BASIL TEGHEN NDUM RN
NPI 1063225142
Registered Nurse - Administrator in Upper Marlboro, MD

Active since January 31, 2025
9105 JOUSTING LN, UPPER MARLBORO, MD 20772(240) 872-6598 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Basil Teghen Ndum Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BASIL TEGHEN NDUM RN (NPI 1063225142) is an individual administrator provider in Upper Marlboro, Maryland, licensed in Virginia (0001301762) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1063225142
Entity TypeIndividualMale
Primary Taxonomy163WA2000X
Provider Legal NameMR. BASIL TEGHEN NDUMCredential: RN
Location Address9105 JOUSTING LNUpper Marlboro, MD 20772-4388
Mailing Address3301 Richmond HwyAlexandria, VA 22305-3044 · (240) 872-6598
Sole ProprietorNo
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
NPI 1063225142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License Licensed in VA · 0001301762
9105 JOUSTING LN, Upper Marlboro, MD 20772

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Developmental Disabilities)
9105 JOUSTING LN
UPPER MARLBORO, MD 20772
Registered Nurse (General Practice)
9105 JOUSTING LN
UPPER MARLBORO, MD 20772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Basil Ndum's NPI number?

The NPI number for Basil Ndum is 1063225142. It was assigned to this individual provider in the NPPES registry on January 31, 2025.

Where is Basil Ndum located?

Basil Ndum practices at 9105 Jousting Ln, Upper Marlboro, MD 20772. The listed phone number is (240) 872-6598.

What is Basil Ndum's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Basil Ndum was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.