Constance Ngozi Mofunanya, NP

Primary specialty

Religious Nonmedical Nursing PersonnelTaxonomy code 374T00000X

License

F381447 Issued in NY

Practice address

1225 Gerard Ave
Morrisania
Bronx, NY 10452-8001

Phone

(718) 960-2893

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: cmofunanya836080@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  • Clinic/Center
  • Bronx, NY
  • NPI 1003824608
  NPD
• New York City Health and Hospitals Corporation

  dba Henry J. Carter Specialty Hospital

  • Clinic/Center
  • New York, NY
  • NPI 1538943469
  NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033294210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 GLENBROOK PKWY",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312105",
            "telephone_number": "201-647-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GERARD AVE",
            "address_2": "MORRISANIA",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528001",
            "telephone_number": "718-960-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFUNANYA",
        "first_name": "CONSTANCE",
        "middle_name": "NGOZI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "NY",
            "license": "F381447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parastou Modjarrad, D.M.D.
• Moshe Moeller, PH.D.
• Brett William Moerke, DO
• Maria Cristina Moffitt, LPN
• Sarah Mofsowitz, RN, BSN
• Philomena Ngozi Mofunanya
• Mukund Mogar, M.D.
• Sydney Mogavero, PA-C
• Daniel Z Mogel, DO
• Jaime Eduardo Mogollon Paredes, M.D.

• Religious Nonmedical Nursing Personnel in Bronx, NY
• Providers in Bronx, NY by specialty
• Religious Nonmedical Nursing Personnel in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.