NPIMap

Organization Active NPI

Morrisanis Diagnostic and Treatment Center

Doing business as none

  • Developmental Disabilities Clinic/Center
  • Bronx, NY
National Provider Identifier
1245304203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
143979 Issued in NY
Legal business name
MORRISANIS DIAGNOSTIC AND TREATMENT CENTER
Doing business as
none
Practice address
1225 Gerard Ave
Bronx, NY 10452-8001
Phone
(718) 960-2991
Fax
(718) 960-7042
NPI assigned
Nov 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fred Ong Kho, M.D.NPI 1144555863
Title
Developmental Pediatrician
Phone
(718) 960-2991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 143979 NY Primary

Addresses

Primary practice location

1225 Gerard Ave
Bronx, NY 10452-8001

Mailing address

1225 Gerard Ave
Bronx, NY 10452-8001
Phone (718) 960-2991

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245304203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 GERARD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528001",
            "telephone_number": "718-960-2991",
            "fax_number": "718-960-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GERARD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528001",
            "telephone_number": "718-960-2991",
            "fax_number": "718-960-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISANIS DIAGNOSTIC AND TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "ONG",
        "authorized_official_title_or_position": "DEVELOPMENTAL PEDIATRICIAN",
        "authorized_official_telephone_number": "718-960-2991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "143979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.