Individual provider Active NPI

Gamuchirai Cherry Mapfumo

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1255071767
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342234 Issued in NY
Practice address
1825 Eastchester Rd
Bronx, NY 10461-2301
Phone
(718) 904-2704
NPI assigned
Mar 31, 2022
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342234 NY Primary

Addresses

Primary practice location

1825 Eastchester Rd
Bronx, NY 10461-2301

Mailing address

23 Eastwood Rd
Danbury, CT 06811-3628
Phone (914) 308-5485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220513001891 NY Practitioner - Nurse Practitioner 2062899925 Reassigns benefits to 2 organizations
I20241112002034 CT Practitioner - Nurse Practitioner 2062899925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13026CTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC CurrentSince Sep 1, 2023 Accepting new patients
Infinite Medical PC CurrentSince Sep 6, 2024 Accepting new patients
Care Connect Medical P.C. CurrentSince Sep 1, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

46 Mount Ebo Rd N
Brewster, NY 10509
Phone (201) 654-3130

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

250 Skillman St
Ste 202
Brooklyn, NY 11205

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

476 Christian Herald Rd
Vly Cottage, NY 10989
Phone (845) 268-6861

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1255071767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 EASTWOOD RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068113628",
            "telephone_number": "914-308-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612301",
            "telephone_number": "718-904-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPFUMO",
        "first_name": "GAMUCHIRAI",
        "middle_name": "CHERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.