Organization Active NPI

Breakthrough Family Health Nurse Practitioner, PLLC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1124626783
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BREAKTHROUGH FAMILY HEALTH NURSE PRACTITIONER, PLLC
Practice address
2825 3Rd Ave
3Rd Floor, Suite 10
Bronx, NY 10455-4066
Phone
(347) 623-2400
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Ednah Madu, NPNPI 1225105083
Title
President
Phone
(347) 623-2400

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2825 3Rd Ave
3Rd Floor, Suite 10
Bronx, NY 10455-4066

Mailing address

2626 93Rd St
East Elmhurst, NY 11369-1714
Phone (347) 623-2400

National Provider Directory

National Provider Directory

Locations

2825 3rd Ave
Ste 10
Bronx, NY 10455
Phone (347) 623-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1124626783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 93RD ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691714",
            "telephone_number": "347-623-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE",
            "address_2": "3RD FLOOR, SUITE 10",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554066",
            "telephone_number": "347-623-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH FAMILY HEALTH NURSE PRACTITIONER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "MADU",
        "authorized_official_first_name": "EDNAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-623-2400",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.