Organization Active NPI

Alexander Morden MD PC

  • Specialist
  • Whitestone, NY
National Provider Identifier
1306977145
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALEXANDER MORDEN MD PC
Practice address
16020 Willets Point Blvd
Whitestone, NY 11357-3342
Phone
(718) 204-0414
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Eva Loudaros
Title
Billing Manager
Phone
(718) 204-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

16020 Willets Point Blvd
Whitestone, NY 11357-3342

Mailing address

1303 209TH St
Bayside, NY 11360-1123
Phone (718) 204-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000721 NY Part B Supplier - Clinic/Group Practice 6103847967 Receives reassigned benefits from 1 practitioner
Practice locations: New Hyde Park, NY; Whitestone, NY; Forest Hills, NY; Flushing, NY; Bayside, NY

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306977145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 209TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601123",
            "telephone_number": "718-204-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16020 WILLETS POINT BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573342",
            "telephone_number": "718-204-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER MORDEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LOUDAROS",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-204-0414"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.