Active NPI
Judy Ann Murphy Gorman, AHNP
- Obstetrics & Gynecology Nurse Practitioner
- Plattsburgh, NY
National Provider Identifier
1740343680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 300218
- Practice address
- 8 Broad Street
Plattsburgh, NY 12901 - Phone
- (518) 563-8880
- Fax
- (518) 562-1077
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 300218 | NY | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 300218 | NY | Primary |
Addresses
Primary practice location
8 Broad Street
Plattsburgh, NY 12901
Mailing address
8 Broad St
Plattsburgh, NY 12901-3420
Phone (518) 563-8880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02200448 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300218 | NY | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Medical Services | Past | Accepting new patients | |
| Tae Sik Choi MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Plattsburgh, NY
- NPI 1881078079
-
dba massena obgyn group
- Obstetrics & Gynecology Physician
- Massena, NY
- NPI 1922038116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1740343680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BROAD ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129013420",
"telephone_number": "518-563-8880",
"fax_number": "518-562-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 BROAD STREET",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "12901",
"telephone_number": "518-563-8880",
"fax_number": "518-562-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY GORMAN",
"first_name": "JUDY",
"middle_name": "ANN",
"credential": "AHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "300218",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NY",
"license": "300218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02200448",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.