MS. EVELYN MOMODU


Address: 11 W Prospect Ave, Mount Vernon, NY 10550-2017
Phone: 9146688938

MS. EVELYN MOMODU (NPI# 1316544356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316544356
Entity Type Individual
Full Name MS. EVELYN MOMODU
Practice Address 11 W Prospect Ave
Mount Vernon
NY 10550-2017
Mailing Address 845 N Broadway
White Plains
NY 10603-2403
Practice Telephone 9146688938
Practice Fax Number 9146682545
Mailing Telephone 9147610600
Mailing Fax Number 9147615367
Enumeration Date 2020-10-02
Last Update Date 2020-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 11 W PROSPECT AVE
City MOUNT VERNON
State NY
Zip Code 10550-2017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417296351 Encouraged Wellness Skilled Nursing Facility 11 W Prospect Ave, 3rd Floor, Mount Vernon, NY 10550-2017 2013-02-13
1952908998 Vanessa Lang Student in an Organized Health Care Education/Training Program 11 W Prospect Ave, Mount Vernon, NY 10550-2017 2020-10-02
1205449089 Marva Dolphin Registered Nurse 11 W Prospect Ave, Mount Vernon, NY 10550-2017 2020-08-31
1407482938 Community Psychotherapy Lcsw, Pllc Social Worker 11 W Prospect Ave, Mount Vernon, NY 10550-2017 2020-03-16
1275174666 Angela Turso Student in an Organized Health Care Education/Training Program 11 W Prospect Ave, Mount Vernon, NY 10550-2017 2019-10-07
1972160950 Melissa Martini Student in an Organized Health Care Education/Training Program 11 W Prospect Ave, Mount Vernon, NY 10550-2017 2019-05-24
1114490125 Shedifa Treasure Student in an Organized Health Care Education/Training Program 11 W Prospect Ave, Mount Vernon, NY 10550-2017 2019-01-03
1003399429 Jessica Carpio Student in an Organized Health Care Education/Training Program 11 W Prospect Ave, Mount Vernon, NY 10550-2017 2018-09-11
1720446586 Melanie Elizabeth Carter Student in an Organized Health Care Education/Training Program 11 W Prospect Ave, Mount Vernon, NY 10550-2017 2016-02-08
1942632310 Christine Gehringer Social Worker 11 W Prospect Ave, Mount Vernon, NY 10550-2017 2013-08-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487240 Jacqueline Marshall Technician 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 2020-05-05
1023529369 B.t.m. Psychiatric Np Services, Pllc Nurse Practitioner 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 2017-10-13
1669994174 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 500 E Sanford Blvd, Mount Vernon, NY 10550 2017-07-17
1053869198 Teresa Turriago I Social Worker 487 S. Broadway, Yonkers, New York, NY 10550 2016-09-19
1811340862 Marcia Samuels Nembhard Licensed Practical Nurse 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 2016-07-14
1043665318 Marshalee Mullings Registered Nurse 70 E 4th Street, 2c, Mount Vernon, NY 10550 2016-04-25
1518333228 Humanities Medical Supplies Inc Durable Medical Equipment & Medical Supplies 100 Stevens Avenue, Mount Vernon, NY 10550 2015-08-17
1851779458 Maila Catolico Registered Nurse 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 2015-05-14
1003203266 Priscilla A. Severe Registered Nurse 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 2015-04-24
1477963254 Imani Ife Campbell Licensed Practical Nurse 323 South 10th Ave, Mt. Vernon, NY 10550 2014-05-02
Find all providers in zip 10550

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487217345 Nicholas Peter Goodman Student in an Organized Health Care Education/Training Program Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 2019-04-17
1003376740 Melat Aberra Gebremichael Student in an Organized Health Care Education/Training Program 131 E Prospect Ave Apt 5i, Mount Vernon, NY 10550-2219 2019-03-20
1881179380 Jacob Rings Student in an Organized Health Care Education/Training Program 5481 Mink St, Mount Vernon, OH 43050-8417 2018-10-01
1215463757 Lyubov Murza Student in an Organized Health Care Education/Training Program 2520 Briarwood Cir, Mount Vernon, WA 98273-8614 2017-05-03
1558725564 Kali Kuhlenschmidt Student in an Organized Health Care Education/Training Program 6859 Carson School Rd, Mount Vernon, IN 47620-8427 2016-04-06
1679837942 Jessica Ann Vargas Student in an Organized Health Care Education/Training Program 381 Hutchinson Blvd, Mount Vernon, NY 10552-1515 2012-07-01
1609159201 Wuyah Gbondo Student in an Organized Health Care Education/Training Program 6 Gramatan Avenue, Suite 401, C/o Wjcs, Mount Vernon, NY 10550 2011-09-21
1881724565 Spring Garden Community Consolidated School District #178 Student in an Organized Health Care Education/Training Program 14975 E Bakerville Rd, Mount Vernon, IL 62864 2007-03-06
1891392908 Sadia Huq Student in an Organized Health Care Education/Training Program 11 W Prospect Ave Fl 4, Mount Vernon, NY 10550-2017 2020-10-02
1952908998 Vanessa Lang Student in an Organized Health Care Education/Training Program 11 W Prospect Ave, Mount Vernon, NY 10550-2017 2020-10-02
Find all providers in MOUNT VERNON

Competitor

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City MOUNT VERNON
Zip Code 10550

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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