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

MED36-5
NPI 1669388732
Community/Behavioral Health in Waldorf, MD

Active since August 20, 2026
3261 OLD WASHINGTON RD, WALDORF, MD 20602(445) 249-7879 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Med36-5 NPPES

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

MED36-5 (NPI 1669388732) is a healthcare organization registered as a community/behavioral health in Waldorf, Maryland and active in the NPI registry since August 2026. The organization lists Kehinde Tom Ayegunle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669388732
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMED36-5
Location Address3261 OLD WASHINGTON RDWaldorf, MD 20602-3223
Mailing Address3261 Old Washington RdWaldorf, MD 20602-3223 · (445) 249-7879
Organization SubpartNo
Authorized OfficialKehinde Tom AyegunleCeo · (445) 249-7879
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 19, 2026
NPI 1669388732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3261 OLD WASHINGTON RD, Waldorf, MD 20602

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.

Podiatrist
3261 OLD WASHINGTON RD, SUITE 1010
WALDORF, MD 20602
Family Medicine
3261 OLD WASHINGTON RD, SUITE 3010
WALDORF, MD 20602
Dietitian, Registered
3261 OLD WASHINGTON RD, STE 2020
WALDORF, MD 20602
Non-Pharmacy Dispensing Site
3261 OLD WASHINGTON RD, SUITE 2011
WALDORF, MD 20602
Obstetrics & Gynecology
3261 OLD WASHINGTON RD, 1013
WALDORF, MD 20602
Nurse Practitioner (Gerontology)
3261 OLD WASHINGTON RD
WALDORF, MD 20602
Obstetrics & Gynecology (Gynecology)
3261 OLD WASHINGTON RD, SUITE 1013
WALDORF, MD 20602
Nurse Practitioner (Family)
3261 OLD WASHINGTON RD
WALDORF, MD 20602

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 Med36-5's NPI number?

The NPI number for Med36-5 is 1669388732. It was assigned to this organization in the NPPES registry on August 20, 2026.

Where is Med36-5 located?

Med36-5 is located at 3261 Old Washington Rd, Waldorf, MD 20602. The listed phone number is (445) 249-7879.

What is Med36-5's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Med36-5 was last updated on August 20, 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.