Organization Active NPI

Judith Morris de Celis MD PC

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1053611269
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
134562 Issued in NY
Legal business name
JUDITH MORRIS DE CELIS MD PC
Practice address
338 E 30TH St
New York, NY 10016-8318
Phone
(212) 679-2213
Fax
(917) 388-2678
NPI assigned
Oct 22, 2010
Last updated
Sep 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Authorized official

Name
Dr. Judith Morris de Celis, MDNPI 1316904592
Title
President
Phone
(212) 679-2213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 134562 NY Primary

Addresses

Primary practice location

338 E 30TH St
New York, NY 10016-8318

Mailing address

330 E 38TH St Apt 31J
New York, NY 10016-2781
Phone (917) 940-7258

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0861139Judith Morris de Celis MD PC338 E 30TH Street - Ground Floor, New York, NY 10016Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

338 E 30th St
New York, NY 10016
Phone (212) 679-2213

343 E 30th St
Lbby
New York, NY 10016
Phone (212) 679-2213

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568419200000",
    "number": "1053611269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 38TH ST APT 31J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162781",
            "telephone_number": "917-940-7258",
            "fax_number": "917-388-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 E 30TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168318",
            "telephone_number": "212-679-2213",
            "fax_number": "917-388-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH MORRIS DE CELIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2019-09-14",
        "status": "A",
        "authorized_official_last_name": "MORRIS DE CELIS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-679-2213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "134562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.