Individual ProviderAdjoa MontfordNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2015 Grand Concourse, Bronx, NY 10453-4303(718) 618-0401PECOS EnrollmentBased on the most recent information from CMS, provider Adjoa Montford is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1215114616Provider TypeIndividualFull NameMontford, AdjoaCredentialFNP-ANCCGenderFemaleSole ProprietorYesEnumeration Date1/28/2008Last Updated6/9/2021Contact InformationPractice LocationPractice Address2015 Grand Concourse, Bronx, NY 10453-4303Phone(718) 618-0401FaxUnlisted FaxMailing LocationMailing Address1434 Williamsbridge Rd Fl 2, Bronx, NY 10461-2507Phone(718) 618-0401FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense347270New YorkCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicense284903New York