Individual provider Active NPI

Gloria Loretta Murray, CNM

  • Advanced Practice Midwife
  • Bronx, NY
National Provider Identifier
1194792465
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F000655-1 Issued in NY
Practice address
2847 Webster Ave
Bronx, NY 10458-3008
Phone
(718) 220-3076
Fax
(917) 529-5718
NPI assigned
Mar 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F000655-1 NY Primary

Addresses

Primary practice location

2847 Webster Ave
Bronx, NY 10458-3008

Mailing address

1831 Edenwald Ave
Bronx, NY 10466-2222
Phone (718) 324-4410

Other identifiers 1

IdentifierTypeStateIssuer
1827063MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000150 NY Practitioner - Certified Nurse Midwife (CNM) 3072562800 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F000655-1NYMDAdvanced Practice Midwife

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBIEBA/Endpoint/HBIEBA

NPI Registry JSON

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

{
    "created_epoch": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1194792465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 EDENWALD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662222",
            "telephone_number": "718-324-4410",
            "fax_number": "917-529-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 WEBSTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104583008",
            "telephone_number": "718-220-3076",
            "fax_number": "917-529-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "GLORIA",
        "middle_name": "LORETTA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-04",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000655-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1827063",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.