NPIMap

Organization Active NPI

Moka

  • Case Management Agency
  • Wyoming, MI
National Provider Identifier
1992195630
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
6802066082 Issued in MI
Legal business name
MOKA
Practice address
5281 Clyde Park Ave SW
Suite 2
Wyoming, MI 49509-9506
Phone
(616) 719-4263
Fax
(616) 719-4267
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Mr. Thomas Zmolek
Title
Executive Director
Phone
(231) 830-9376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6802066082 MI Primary

Addresses

Primary practice location

5281 Clyde Park Ave SW
Suite 2
Wyoming, MI 49509-9506

Mailing address

5281 Clyde Park Ave SW
Suite 2
Wyoming, MI 49509-9506
Phone (616) 719-4263

National Provider Directory

National Provider Directory

Locations

5281 Clyde Park Ave SW
Ste 2
Wyoming, MI 49509
Phone (616) 719-4263

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1992195630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 CLYDE PARK AVE SW",
            "address_2": "SUITE 2",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099506",
            "telephone_number": "616-719-4263",
            "fax_number": "616-719-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5281 CLYDE PARK AVE SW",
            "address_2": "SUITE 2",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099506",
            "telephone_number": "616-719-4263",
            "fax_number": "616-719-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "ZMOLEK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-830-9376",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6802066082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.