Thomas Famawa, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014697 Issued in PA

Practice address

155 E Godfrey Ave Apt J205
Philadelphia, PA 19120-4754

Phone

(267) 902-8340

NPI assigned

Jun 3, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  PA

  Medicare reassignment NPD
• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newark, DE
  • NPI 1033376231

  PA

  Medicare reassignment NPD
• NJ Pacs 2 PA

  • Hospitalist Physician
  • Mendham, NJ
  • NPI 1740766195

  PA

  Medicare reassignment NPD
• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newtown Square, PA
  • NPI 1669880175
  NPD

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1952781072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E GODFREY AVE APT J205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E GODFREY AVE APT J205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204754",
            "telephone_number": "267-902-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMAWA",
        "first_name": "THOMAS",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falls Pediatric & Teen Care, LLP
• Matthew John Fallstick, D.O.
• Wale Falodun, LSW
• Andrea Falzone, PSY.D.
• Chloe Fama
• Christopher Famiglietti, LCSW
• Famility Home Care Solutions
• Olivia Olabamidele Familusi, MD, MSHP
• Family Affair Home Care, Inc.
• Family Alliance Home Care,Inc

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.