Organization Active NPI

Tresciana Morgan MD, P.a.

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1093184053
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME106035 Issued in FL
Legal business name
TRESCIANA MORGAN MD, P.A.
Practice address
7000 W Camino Real
Suite #210
Boca Raton, FL 33433-5532
Phone
(561) 609-2365
Fax
(561) 609-2437
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Tresciana Morgan, M.D.NPI 1407937600
Title
Owner
Phone
(561) 609-2365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME106035 FL Primary

Addresses

Primary practice location

7000 W Camino Real
Suite #210
Boca Raton, FL 33433-5532

Mailing address

7000 W Camino Real
Suite #210
Boca Raton, FL 33433-5532
Phone (561) 609-2365

Other identifiers 1

IdentifierTypeStateIssuer
12061590OtherFLCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160419001209 FL Part B Supplier - Clinic/Group Practice 7416255815 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1093184053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W CAMINO REAL",
            "address_2": "SUITE #210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335532",
            "telephone_number": "561-609-2365",
            "fax_number": "561-609-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W CAMINO REAL",
            "address_2": "SUITE #210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335532",
            "telephone_number": "561-609-2365",
            "fax_number": "561-609-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESCIANA MORGAN MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "TRESCIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-609-2365",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12061590",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.