Active NPI
Morgan Lee Fusco, OTR
- Occupational Therapist
- Deer Park, NY
National Provider Identifier
1003573783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026274
- Practice address
- 1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782 - Phone
- (631) 243-1765
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 026274 | NY | Primary |
Addresses
Primary practice location
1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782
Mailing address
222 Cedrus Ave
East Northport, NY 11731-4522
Phone (631) 662-7668
Other practice location 1
1227 Montauk Hwy Unit 2
Oakdale, NY 11769-1492
Phone (631) 218-1545
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.kidsfirstevaluation.com/ |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Evaluation and Advocacy Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Deer Park, NY
- NPI 1376699421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1003573783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 CEDRUS AVE",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314522",
"telephone_number": "631-662-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 GRAND BLVD STE 5",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117295782",
"telephone_number": "631-243-1765"
}
],
"practiceLocations": [
{
"address_1": "1227 Montauk Hwy Unit 2",
"address_purpose": "LOCATION",
"city": "Oakdale",
"state": "NY",
"postal_code": "117691492",
"country_code": "US",
"telephone_number": "631-218-1545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUSCO",
"first_name": "MORGAN",
"middle_name": "LEE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2021-11-17",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026274",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.kidsfirstevaluation.com/",
"affiliation": "N",
"address_1": "1014 Grand Blvd Ste 5",
"city": "Deer Park",
"state": "NY",
"country_code": "US",
"postal_code": "117295782",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.