Individual provider Active NPI

Martin Ahidjo Tamfu

  • Social Worker
  • White Plains, NY
National Provider Identifier
1972169464
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106367-1 Issued in NY
Practice address
300 Hamilton Ave
White Plains, NY 10601-1810
Phone
(914) 345-0700
NPI assigned
May 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106367-1 NY Primary

Addresses

Primary practice location

300 Hamilton Ave
White Plains, NY 10601-1810

Mailing address

266 S Fulton Ave Apt 20B
Mount Vernon, NY 10553-1438
Phone (347) 849-9815

Other practice location 1

750 Astor Ave Fl 2
Bronx, NY 10467-9304
Phone (718) 882-5000

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

State licenses

LicenseStateTypeSpecialty
106367-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1972169464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S FULTON AVE APT 20B",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531438",
            "telephone_number": "347-849-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HAMILTON AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011810",
            "telephone_number": "914-345-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Astor Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104679304",
            "country_code": "US",
            "telephone_number": "718-882-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMFU",
        "first_name": "MARTIN",
        "middle_name": "AHIDJO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106367-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.