Active NPI
Judith Foinmbamtita, NP
- Nurse Practitioner
- Poughkeepsie, NY
National Provider Identifier
1962810788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 683185-01
- Practice address
- 301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587 - Phone
- (845) 452-1700
- Fax
- (845) 452-1752
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 683185-01 | NY | Primary |
Addresses
Primary practice location
301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587
Mailing address
301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587
Phone (845) 452-1700
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 683185-01 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
10 Ronald Reagan Blvd
Warwick, NY 10990
Phone (845) 986-2058
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- judith.foinmbamtita.p1@direct.cwpw.nextgenshare.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1962810788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MANCHESTER RD STE 105",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032587",
"telephone_number": "845-452-1700",
"fax_number": "845-452-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MANCHESTER RD STE 105",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032587",
"telephone_number": "845-452-1700",
"fax_number": "845-452-1752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOINMBAMTITA",
"first_name": "JUDITH",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "683185-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.