Active NPI
Rose Morancy
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1326819749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001823
- Practice address
- 3621 Glenwood Rd FL 1
Brooklyn, NY 11210-1944 - Phone
- (929) 387-2907
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001823 | PR | Primary |
Addresses
Primary practice location
3621 Glenwood Rd FL 1
Brooklyn, NY 11210-1944
Mailing address
1276 E 83Rd St FL 1
Brooklyn, NY 11236-4933
Phone (929) 387-2907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001823 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1326819749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 E 83RD ST FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364933",
"telephone_number": "929-387-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 GLENWOOD RD FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112101944",
"telephone_number": "929-387-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORANCY",
"first_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "001823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.