Active NPI
Metamorphyx Medical Group PC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1124061460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1676231
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1043256290
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.