Individual provider Active NPI

Bernice Schoffner Momo, RN

  • Registered Nurse
  • Staten Island, NY
National Provider Identifier
1891930848
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
511664-1 Issued in NY
Practice address
88 Parkhill Lane
Staten Island, NY 10304-3638
Phone
(718) 442-3683
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 511664-1 NY Primary

Addresses

Primary practice location

88 Parkhill Lane
Staten Island, NY 10304-3638

Mailing address

P.O. Box 140882
Staten Island, NY 10314-0882
Phone (718) 619-5956

Other names 1

  • Mrs. Bernice Cooper Schoffner-Momo Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
511664-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1891930848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 140882",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103140882",
            "telephone_number": "718-619-5956",
            "fax_number": "718-442-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PARKHILL LANE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043638",
            "telephone_number": "718-442-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMO",
        "first_name": "BERNICE",
        "middle_name": "SCHOFFNER",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "511664-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNICE",
            "last_name": "SCHOFFNER-MOMO",
            "middle_name": "COOPER",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.