Active NPI
Margaret Morris, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1174175939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10003038A
- Practice address
- 210 E 64TH St FL 7
New York, NY 10065-7471 - Phone
- (212) 434-4050
- NPI assigned
- Jul 11, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023646 | NY | |
| Physician Assistant | 363A00000X | 10003038A | IN | Primary |
Addresses
Primary practice location
210 E 64TH St FL 7
New York, NY 10065-7471
Mailing address
530 Massachusetts Ave
Indianapolis, IN 46204-2327
Other practice location 1
8040 Clearvista Pkwy Ste 310
Indianapolis, IN 46256-4673
Phone (317) 621-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300041396 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10003038A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornell University Medical College | Past | Accepting new patients | |
| Keith M. Blechman, M.D., P.C. | Past | Accepting new patients |
Interoperability endpoints
- mmorris316028@northwell.direct-ci.com
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1174175939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 MASSACHUSETTS AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462042327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 64TH ST FL 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657471",
"telephone_number": "212-434-4050"
}
],
"practiceLocations": [
{
"address_1": "8040 Clearvista Pkwy Ste 310",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462564673",
"country_code": "US",
"telephone_number": "317-621-2200",
"fax_number": "317-621-2204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRIS",
"first_name": "MARGARET",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023646",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003038A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300041396",
"state": "IN"
}
],
"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 Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.