Active NPI
Patricia R. Burris-Warmoth, M.D.
- Adolescent Medicine (Internal Medicine) Physician
- Melville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 198810
- Practice address
- 80 Marcus Dr
Provider Enrollment
Melville, NY 11747-4230 - Phone
- (631) 391-7889
- Fax
- (631) 454-4163
- NPI assigned
- Nov 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 198810 | NY | Primary |
Addresses
Primary practice location
80 Marcus Dr
Provider Enrollment
Melville, NY 11747-4230
Mailing address
14601 45TH Ave Ste 140
Flushing, NY 11355-2200
Phone (718) 670-5534
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01777462 | Medicaid | NY | |
| NYS LICENSE | Other | NY | 198810 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flushing Hospital Medical Center | Current | Accepting new patients | |
| TJH Medical Services, P.C. | Current | Accepting new patients | |
| Flushing Hospital & Medical Center | Current | Accepting new patients | |
| TJH Medical Services, PC | Past | Accepting new patients |
Locations
4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631
4500 Parsons Blvd
Fl 5
Flushing, NY 11355
14601 45th Ave
Ste 140
Flushing, NY 11355
14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562
11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
Interoperability endpoints
- pburriswarmoth6783@direct.medisys.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1548217763
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1184670465
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1568693174
-
- Multi-Specialty Clinic/Center
- Jamaica, NY
- NPI 1588605802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1194898676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14601 45TH AVE STE 140",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552200",
"telephone_number": "718-670-5534",
"fax_number": "718-670-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MARCUS DR",
"address_2": "PROVIDER ENROLLMENT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474230",
"telephone_number": "631-391-7889",
"fax_number": "631-454-4163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS-WARMOTH",
"first_name": "PATRICIA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "NY",
"license": "198810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01777462",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "198810",
"identifier": "NYS LICENSE",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.