Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIRACLE HEALTHCARE AND WELLNESS CENTER LLC
NPI 1336052869
Nurse Practitioner - Primary Care in Waldorf, MD

Q: What is Miracle Healthcare And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since September 25, 2026

2408 PLENTY GATES LN # A, WALDORF, MD 20601(130) 161-3696 Get Directions Write a Review

NPPES record added: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Miracle Healthcare And Wellness Center Llc NPPES

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

MIRACLE HEALTHCARE AND WELLNESS CENTER LLC (NPI 1336052869) is a healthcare organization registered as a primary care in Waldorf, Maryland and active in the NPI registry since September 2026. The organization lists Toyin Mary Ajayi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336052869

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameMIRACLE HEALTHCARE AND WELLNESS CENTER LLC

Location Address2408 PLENTY GATES LN # AWaldorf, MD 20601-5602

Mailing Address2408 Plenty Gates Ln # AWaldorf, MD 20601-5602 · (130) 161-3696

Phone(130) 161-3696

Organization SubpartNo

Authorized OfficialToyin Mary AjayiCeo · (301) 613-6963

Enumeration DateSeptember 25, 2026

NPPES CertifiedSeptember 25, 2026

✔ NPI 1336052869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

2408 PLENTY GATES LN # A, Waldorf, MD 20601

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Miracle Healthcare And Wellness Center LLC's NPI number?

The NPI number for Miracle Healthcare And Wellness Center LLC is 1336052869. It was assigned to this organization in the NPPES registry on September 25, 2026.

Where is Miracle Healthcare And Wellness Center LLC located?

Miracle Healthcare And Wellness Center LLC is located at 2408 Plenty Gates Ln # A, Waldorf, MD 20601. The listed phone number is (130) 161-3696.

What is Miracle Healthcare And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Miracle Healthcare And Wellness Center LLC was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.