Individual provider Active NPI

Comfort Olufunmilayo Sowale, CNP

  • Nurse Practitioner
  • Canton, MA
National Provider Identifier
1427620756
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2301726 Issued in MA
Practice address
45 Dan Rd Ste 125
Canton, MA 02021-2852
Phone
(781) 243-5206
NPI assigned
Jul 15, 2021
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2301726 MA Primary

Addresses

Primary practice location

45 Dan Rd Ste 125
Canton, MA 02021-2852

Mailing address

45 Dan Rd Ste 125
Canton, MA 02021-2852
Phone (781) 243-5206

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.ccserma.com/ccs.login/#/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20220810001547 MA Practitioner - Nurse Practitioner 8527441450 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Feb 28, 2025 Accepting new patients
Light & Mind Behavioral Health Services LLC CurrentSince Mar 26, 2025 Accepting new patients
High Point Treatment Center Inc. CurrentSince Aug 8, 2022 Accepting new patients
Boston Neurobehavioral Associates, LLC CurrentSince May 3, 2024 Accepting new patients
Supportive Behavioral Care of Ma LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558

10 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 584-9210

30 Meadowbrook Rd
Brockton, MA 02301
Phone (508) 408-6190

45 Dan Rd
Ste 125
Canton, MA 02021
Phone (401) 680-0411

108 N Front St
New Bedford, MA 02740
Phone (508) 689-5576

226 Field St
New Bedford, MA 02740
Phone (508) 213-1387

68 N Front St
New Bedford, MA 02740
Phone (508) 689-5576

72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448

1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527

61 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 746-8977

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 5

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1427620756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DAN RD STE 125",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212852",
            "telephone_number": "781-243-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DAN RD STE 125",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212852",
            "telephone_number": "781-243-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWALE",
        "first_name": "COMFORT",
        "middle_name": "OLUFUNMILAYO",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2301726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.ccserma.com/ccs.login/#/",
            "affiliation": "N",
            "address_1": "1 Bumps Pond Road",
            "city": "Plymouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.