AFFORDABLE MEDICAL CLINIC LLC
NPI 1639573348
Nurse Practitioner - Family in Hyattsville, MD

Active since October 09, 2014CLIA 21D2078619 · Waiver
6475 NEW HAMPSHIRE AVE, SUITE 430, HYATTSVILLE, MD 20783(240) 670-8305(240) 670-8306 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Affordable Medical Clinic Llc NPPES

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

AFFORDABLE MEDICAL CLINIC LLC (NPI 1639573348) is a healthcare organization registered as a family in Hyattsville, Maryland and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Josephine Emeagwali, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639573348
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAFFORDABLE MEDICAL CLINIC LLC
Location Address6475 NEW HAMPSHIRE AVE, SUITE 430Hyattsville, MD 20783-3269
Mailing Address6475 New Hampshire Avenue, Suite 430Hyattsville, MD 20783 · (240) 670-8305 · Fax (240) 670-8306
Fax(240) 670-8306
Organization SubpartNo
Authorized OfficialJosephine EmeagwaliCeo · (301) 412-7990
Enumeration DateOctober 9, 2014
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
NPI 1639573348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R134072
6475 NEW HAMPSHIRE AVE, Hyattsville, MD 20783

Other Identifiers 2

Medicaid4227221 00MD
Medicaid033825600DC

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2078619

Affordable Medical Clinic LLC · Hyattsville, MD
Active · expires Jun 1, 2028
CLIA Number21D2078619
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorJosephine Emeagwali Crnp
Laboratory Phone(301) 512-6492
Laboratory LocationAffordable Medical Clinic LLC6475 New Hampshire Avenue, Suite 430, Hyattsville, MD 20783
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Home Health Aide
6475 NEW HAMPSHIRE AVE, SUITE 504F
HYATTSVILLE, MD 20783
Social Worker
6475 NEW HAMPSHIRE AVE, SUITE 610
HYATTSVILLE, MD 20783
Physical Therapist
6475 NEW HAMPSHIRE AVE, SUITE 420-430
HYATTSVILLE, MD 20783
Home Health Aide
6475 NEW HAMPSHIRE AVE, STE 504F
HYATTSVILLE, MD 20783
Custodial Care Facility (Adult Care Home)
6475 NEW HAMPSHIRE AVE, SUITE 608
HYATTSVILLE, MD 20783
Home Health Aide
6475 NEW HAMPSHIRE AVE, SUITE 350K
HYATTSVILLE, MD 20783
Case Manager/Care Coordinator
6475 NEW HAMPSHIRE AVE, SUITE 350
HYATTSVILLE, MD 20783
Community/Behavioral Health
6475 NEW HAMPSHIRE AVE
HYATTSVILLE, MD 20783

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 Affordable Medical Clinic LLC's NPI number?

The NPI number for Affordable Medical Clinic LLC is 1639573348. It was assigned to this organization in the NPPES registry on October 9, 2014.

Where is Affordable Medical Clinic LLC located?

Affordable Medical Clinic LLC is located at 6475 New Hampshire Ave Suite 430, Hyattsville, MD 20783. The listed phone number is (240) 670-8305.

What is Affordable Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Affordable Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2078619) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Affordable Medical Clinic LLC was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.