Ganiyat Funmilayo Efuntoye

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CRNP-PMH Issued in MD

Practice address

6475 New Hampshire Ave
Hyattsville, MD 20783-3269

Phone

(240) 357-8763

Fax

(240) 863-3313

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Esteem Healthcare Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyattsville, MD
  • NPI 1225733637

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1962188789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6863 OLD WATERLOO ROAD 1828",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "21075",
            "telephone_number": "240-357-8763",
            "fax_number": "240-863-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833269",
            "telephone_number": "240-357-8763",
            "fax_number": "240-863-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFUNTOYE",
        "first_name": "GANIYAT",
        "middle_name": "FUNMILAYO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MD",
            "license": "RN183978",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "CRNP-PMH",
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MD",
            "license": "CRNP-PMH",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "CRNP-PMH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Efeutfack
• Susan Effety Toni
• Dorothy E Effim
• Divine Nzefeh Effutngu
• Achafac Stanley Efuetcha
• Chisom Adanna Egbuchere
• Glory Egedigwe
• Eighth Avenue Assisted Living and Respite Care, LLC
• Ilse Eisele, LCPC, LGPC
• Delphine Ejeck

• Psychiatric/Mental Health Nurse Practitioner in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.