1073503439 NPI number — JEANNE MARIE MURPHY-STONE CNM

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073503439 NPI number — JEANNE MARIE MURPHY-STONE CNM

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

MURPHY-STONE

Provider First Name:

JEANNE

Provider Middle Name:

MARIE

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

CNM

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

MURPHY

Provider Other First Name:

JEANNE

Provider Other Middle Name:

MARIE

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

1

NPI Number:

1073503439

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

01/15/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

7300 YORK RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

TOWSON

Provider Business Mailing Address State Name:

MD

Provider Business Mailing Address Postal Code:

21204-7607

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

410-337-0029

Provider Business Mailing Address Fax Number:

845-353-1987

Provider First Line Business Practice Location Address:

7300 YORK RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

TOWSON

Provider Business Practice Location Address State Name:

MD

Provider Business Practice Location Address Postal Code:

21204-7607

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

410-337-0029

Provider Business Practice Location Address Fax Number:

845-353-1987

Provider Enumeration Date:

10/26/2005

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 176B00000X , with the licence number:  R189742 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 367A00000X , with the licence number: RN1047253 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 367A00000X , with the licence number: R189742 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 367A00000X , with the licence number: 0024172267 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 1000028754 . This is a "AFFINITY HEALTH PLAN #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: MJ0369 . This is a "ATLANTIS HEALTH PLAN #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: P2849719 . This is a "OXFORD #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 000000081441 . This is a "GHI HMO #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 132943038 . This is a "TAX IDENTIFICATION #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 7500445 . This is a "GHI PPO #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: MGM771 . This is a "EMPIRE BCBS #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 0D3129 . This is a "HEALTHNET #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 231410 . This is a "WELLCARE #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 3445788 . This is a "AETNA HMO #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 7583474 . This is a "AETNA PPO #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 02264322 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
• Identifier: 362725 . This is a "MVP #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".