Active NPI
Cyril Njinyah Morfaw
- Family Nurse Practitioner
- Bowie, MD
National Provider Identifier
1972865764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R171488
- Practice address
- 4416 Burkes Promise Dr
Bowie, MD 20720-4697 - Phone
- (240) 354-8791
- NPI assigned
- Jun 8, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | M-610-132-631-954 | MD | |
| Family Nurse Practitioner | 363LF0000X | R171488 | MD | Primary |
Addresses
Primary practice location
4416 Burkes Promise Dr
Bowie, MD 20720-4697
Mailing address
4416 Burkes Promise Dr
Bowie, MD 20720-4697
Phone (240) 354-8791
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-610-132-631-954 | MD | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1972865764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 BURKES PROMISE DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204697",
"telephone_number": "240-354-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4416 BURKES PROMISE DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204697",
"telephone_number": "240-354-8791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORFAW",
"first_name": "CYRIL",
"middle_name": "NJINYAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-08",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MD",
"license": "M-610-132-631-954",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R171488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.