Active NPI
Martin Ahidjo Tamfu
- Social Worker
- White Plains, NY
National Provider Identifier
1972169464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 106367-1
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 106367-1 | NY | MD | Social 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.