Individual provider Active NPI

Josephine N Odume, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1801102140
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338483-1 Issued in NY
Practice address
176E Mosholu Pkwy S
Office of Dr. Plummer
Bronx, NY 10458
Phone
(718) 367-6100
Fax
(718) 733-4020
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 571288 NY
Family Nurse Practitioner 363LF0000X F338483-1 NY Primary

Addresses

Primary practice location

176E Mosholu Pkwy S
Office of Dr. Plummer
Bronx, NY 10458

Mailing address

74 Belmont Ave
Yonkers, NY 10704-2840
Phone (646) 285-8386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150529000485 NY Practitioner - Nurse Practitioner 6901126150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
571288NYMDSchool Registered Nurse
F338483-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Montefiore Medical Center CurrentSince Jun 12, 2015 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Apr 15, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Jun 12, 2015 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Apr 15, 2015 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1801102140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BELMONT AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042840",
            "telephone_number": "646-285-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176E MOSHOLU PKWY S",
            "address_2": "OFFICE OF DR. PLUMMER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-367-6100",
            "fax_number": "718-733-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUME",
        "first_name": "JOSEPHINE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "571288",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338483-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.