Organization Active NPI

Micah Eastman LPN, Michael Eastman RN, Oshea Eastman RN, PLLC

Doing business as Mmo Nursing

  • Home Health Agency
  • New York, NY
National Provider Identifier
1013539311
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MICAH EASTMAN LPN, MICHAEL EASTMAN RN, OSHEA EASTMAN RN, PLLC
Doing business as
Mmo Nursing
Practice address
555 Madison Ave Ste 545
New York, NY 10022-3301
Phone
(718) 913-0944
Fax
(718) 228-8596
NPI assigned
May 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Micah J Eastman, LPNNPI 1063640472
Title
President/Administrator/Nurse
Phone
(718) 913-0944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

555 Madison Ave Ste 545
New York, NY 10022-3301

Mailing address

555 Madison Ave Ste 545
New York, NY 10022-3301
Phone (718) 913-0944

Other identifiers 1

IdentifierTypeStateIssuer
02264120MedicaidNY

Other names 1

  • MMO NURSING Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@mmonursing.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

555 Madison Ave
Ste 545
New York, NY 10022
Phone (718) 913-0944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1013539311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MADISON AVE STE 545",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223301",
            "telephone_number": "718-913-0944",
            "fax_number": "718-228-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MADISON AVE STE 545",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223301",
            "telephone_number": "718-913-0944",
            "fax_number": "718-228-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH EASTMAN LPN, MICHAEL EASTMAN RN, OSHEA EASTMAN RN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR/NURSE",
        "authorized_official_telephone_number": "718-913-0944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02264120",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@mmonursing.com",
            "affiliation": "N",
            "endpointDescription": "encrypted",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Commerce System",
            "address_1": "555 Madison Ave Ste 545",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100223301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MMO NURSING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.