Active NPI
Mboya Marcus Coward Sr., RN
- Student in an Organized Health Care Education/Training Program
- Fairhaven, MA
National Provider Identifier
1295572220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2297845
- Practice address
- 16 Sconticut Neck Rd # 333
Fairhaven, MA 02719-1914 - Phone
- (508) 990-9005
- NPI assigned
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2297845 | MA | Primary |
Addresses
Primary practice location
16 Sconticut Neck Rd # 333
Fairhaven, MA 02719-1914
Mailing address
16 Sconticut Neck Rd # 333
Fairhaven, MA 02719-1914
Phone (508) 990-9005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2297845 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1295572220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SCONTICUT NECK RD # 333",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027191914",
"telephone_number": "508-990-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 SCONTICUT NECK RD # 333",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027191914",
"telephone_number": "508-990-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWARD",
"first_name": "MBOYA",
"middle_name": "MARCUS",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "2297845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhaven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.