EDGE MEDICAL CARE PC
NPI 1447255609
Clinic/Center - Primary Care in Riverdale, MD

Active since June 15, 2005
5305 KENILWORTH AVE, STE 100, RIVERDALE, MD 20737(301) 277-7110 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edge Medical Care Pc NPPES

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

EDGE MEDICAL CARE PC (NPI 1447255609) is a healthcare organization registered as a primary care in Riverdale, Maryland and active in the NPI registry since June 2005. The organization lists George C Ego-osuala, President, as its authorized official.

NPPES Registry Identity

NPI1447255609
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEDGE MEDICAL CARE PC
Location Address5305 KENILWORTH AVE, STE 100Riverdale, MD 20737-3110
Mailing AddressPo Box 7909Langley Park, MD 20787-7909
Organization SubpartNo
Authorized OfficialGeorge C Ego-osualaPresident · (301) 434-9147
Enumeration DateJune 15, 2005
Last NPPES UpdateJuly 10, 2008
NPI 1447255609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses Licensed in MD · D 47156 Licensed in DC · MD 21355
5305 KENILWORTH AVE, Riverdale, MD 20737

Other Identifiers 4

Medicare UPING12335MD
OtherG02849MD · Medicare Group Ptan
Medicare PIN786075MD
Medicaid852000300MD

Other Providers at the Same Location NPPES

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

Family Medicine
5305 KENILWORTH AVE
RIVERDALE, MD 20737

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 Edge Medical Care PC's NPI number?

The NPI number for Edge Medical Care PC is 1447255609. It was assigned to this organization in the NPPES registry on June 15, 2005.

Where is Edge Medical Care PC located?

Edge Medical Care PC is located at 5305 Kenilworth Ave Ste 100, Riverdale, MD 20737. The listed phone number is (301) 277-7110.

What is Edge Medical Care PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Edge Medical Care PC was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.