Brian Morganelli

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

23 S Howell Ave
Stony Brook Medicine - Vascular Surgery
Centereach, NY 11720-4445

Phone

(631) 638-1670

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stony Brook Anaesthesiology, University Faculty Practice Corporation

  • Anesthesiology Physician
  • Stony Brook, NY
  • NPI 1801841184
  Medicare reassignment

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1215484357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S HOWELL AVE",
            "address_2": "STONY BROOK MEDICINE - VASCULAR SURGERY",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204445",
            "telephone_number": "631-638-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGANELLI",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia M. Mitchell, DDS
• Jacqueline Mockler, DPT
• Kristen Monteiro, RN
• Amy Moore
• Mary Margaret Moran, RN
• Saadi Moshref Javadi
• Diamond Alexa Moss
• Krista Ann Moss, NP
• Motherly Love Home Care Services, Inc.
• Julia Motl, NP

• Surgical Physician Assistant in Centereach, NY
• Providers in Centereach, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.

Verify at the official NPI Registry.