Provider Demographics
NPI:1649165614
Name:BAYOR, NGOLTOINGAR
Entity type:Individual
Prefix:
First Name:NGOLTOINGAR
Middle Name:
Last Name:BAYOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 MONROE ST NE APT 324
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1866
Mailing Address - Country:US
Mailing Address - Phone:202-505-0113
Mailing Address - Fax:
Practice Address - Street 1:701 MONROE ST NE APT 324
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1866
Practice Address - Country:US
Practice Address - Phone:202-505-0113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC171M00000X, 171W00000X, 171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor