Organization Active NPI

Metamorphyx Medical Group PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1124061460
Registry record updated Jul 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1676231 Issued in NY
Legal business name
METAMORPHYX MEDICAL GROUP PC
Practice address
86 Trinity PL
Ninth Floor
New York, NY 10006-1818
Phone
(212) 306-1111
Fax
(212) 306-1003
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2007

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

Authorized official

Name
Dr. Cathy Anne Carron, M.D.NPI 1043256290
Title
MD/Owner
Phone
(212) 306-1111

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 1676231 NY Primary

Addresses

Primary practice location

86 Trinity PL
Ninth Floor
New York, NY 10006-1818

Mailing address

86 Trinity PL
Ninth Floor
New York, NY 10006-1818
Phone (212) 306-1111

Other names 1

  • Wall Street Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

86 Trinity Pl
Fl 9
New York, NY 10006
Phone (212) 306-1111

86 Trinity Pl
Fl Ninth
New York, NY 10006
Phone (212) 306-1111

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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184976000000",
    "number": "1124061460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 TRINITY PL",
            "address_2": "NINTH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061818",
            "telephone_number": "212-306-1111",
            "fax_number": "212-306-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 TRINITY PL",
            "address_2": "NINTH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061818",
            "telephone_number": "212-306-1111",
            "fax_number": "212-306-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHYX MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-21",
        "status": "A",
        "authorized_official_last_name": "CARRON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "212-306-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1676231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wall Street Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.