NPIMap

Organization Active NPI

Morris Heights Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
National Provider Identifier
1316444581
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7000236R Issued in NY
Legal business name
MORRIS HEIGHTS HEALTH CENTER, INC.
Practice address
57 W Burnside Ave # 69
Bronx, NY 10453-4038
Phone
(718) 716-4400
NPI assigned
Apr 12, 2018
Last updated
Apr 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Pamella AppiaNPI 1407452428
Title
Manager, Provider Enrollment & Mana
Phone
(718) 483-1270

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
Federally Qualified Health Center (FQHC) 261QF0400X 7000236R NY Primary

Addresses

Primary practice location

57 W Burnside Ave # 69
Bronx, NY 10453-4038

Mailing address

85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 716-4400

Other identifiers 1

IdentifierTypeStateIssuer
00590390MedicaidNY

Other names 1

  • Harrison Circle Other name

National Provider Directory

National Provider Directory
Tax ID family
Morris Heights Health Center Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1316444581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534015",
            "telephone_number": "718-716-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W BURNSIDE AVE # 69",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534038",
            "telephone_number": "718-716-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS HEIGHTS HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "APPIA",
        "authorized_official_first_name": "PAMELLA",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT & MANA",
        "authorized_official_telephone_number": "718-483-1270"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7000236R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00590390",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison Circle",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 12, 2018; 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.