Individual provider Active NPI

Katherine Malagon-Morris

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1295100196
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2451 Grant Ave
Philadelphia, PA 19114-1031
Phone
(215) 934-3471
NPI assigned
Dec 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019293 NY
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2451 Grant Ave
Philadelphia, PA 19114-1031

Mailing address

3 Hansen SQ
Philadelphia, PA 19147-3208
Phone (718) 568-8930

Other practice location 1

3115 21st Ave
Apt 2L
Astoria, NY 11105-2041
Phone (718) 568-8930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180502000895 NY Practitioner - Physician Assistant 5496019267 Reassigns benefits to 1 organization
I20230726004078 PA Practitioner - Physician Assistant 5496019267 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

1217 S Broad St
Philadelphia, PA 19147-4401
Phone (215) 999-1217

1305 W Chester Pike
Havertown, PA 19083-2929
Phone (610) 482-4949

1420 Chestnut St
Philadelphia, PA 19102-2505
Phone (215) 999-1420

1500 Spring Garden St
Suite R105
Philadelphia, PA 19130-4067
Phone (267) 768-8288

3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356

5828 Market St
Philadelphia, PA 19139-3152
Phone (267) 892-5828

618 Market St
Philadelphia, PA 19106-2310
Phone (215) 583-0618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Acute Care Physicians, PC CurrentSince Oct 17, 2023 Accepting new patients
New York University CurrentSince May 15, 2018 Accepting new patients
Jefferson University Physicians CurrentSince Oct 17, 2023 Accepting new patients
New York University CurrentSince May 15, 2018 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

2451 Grant Ave
Philadelphia, PA 19114
Phone (215) 464-8050

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Interoperability endpoints

  • Direct secure messaging: katherine.malagon-morris.1@14965.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1295100196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HANSEN SQ",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473208",
            "telephone_number": "718-568-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141031",
            "telephone_number": "215-934-3471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 21st Ave",
            "address_2": "Apt 2L",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111052041",
            "country_code": "US",
            "telephone_number": "718-568-8930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALAGON-MORRIS",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019293",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.