Individual provider Active NPI

Aloysius Mokom Tamufor, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1689466690
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2295741 Issued in MA
Practice address
31 Paper Birch Path
Worcester, MA 01605-3372
Phone
(508) 239-6210
NPI assigned
May 19, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2295741 MA Primary

Addresses

Primary practice location

31 Paper Birch Path
Worcester, MA 01605-3372

Mailing address

31 Paper Birch Path
Worcester, MA 01605-3372
Phone (508) 239-6210

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
I20251224002386 MA Practitioner - Nurse Practitioner 7315432507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Minnesota Medical School, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5260 Washington St
Suite 11
West Roxbury, MA 02132-6354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2295741MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Healthcare LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

5260 Washington St
Ste 11
West Roxbury, MA 02132
Phone (617) 475-2400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1689466690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PAPER BIRCH PATH",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053372",
            "telephone_number": "508-239-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PAPER BIRCH PATH",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053372",
            "telephone_number": "508-239-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMUFOR",
        "first_name": "ALOYSIUS",
        "middle_name": "MOKOM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2295741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.