Emmerencia Chofong Morfaw, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG01190062 Issued in MD

Practice address

50 Irving St NW
Washington, DC 20422-0001

Phone

(202) 257-8496

Fax

(202) 745-4024

NPI assigned

Feb 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

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

• Hydrofix- IV & Wellness Center

  • Gerontology Nurse Practitioner
  • Bowie, MD
  • NPI 1477204345
  NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1316403108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 LAKE SPRING CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203817",
            "telephone_number": "240-535-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204220001",
            "telephone_number": "202-257-8496",
            "fax_number": "202-745-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORFAW",
        "first_name": "EMMERENCIA",
        "middle_name": "CHOFONG",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-16",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1012436",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "AG01190062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MOTOR VEHICLE",
            "identifier": "M610229115770",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diego Moreno Watashi, M.D.
• Joseph M Moreno, PHARMACIST
• Meylin Moreno
• Eduviges Morente- Mayen
• Emenkeng Kiera Morfaw
• Fidelis Morfaw
• Jennette Emesong Morfaw
• Althea L Morgan-Belcher, DDS
• Acadia Morgan, PA-C
• Amy Kathryn Morgan, D.O.

• Gerontology Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Gerontology Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.