Individual provider Active NPI

Tiffany Morello, PA-C

  • Physician Assistant
  • Parkland, FL
National Provider Identifier
1366864985
Registry record updated Sep 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107748 Issued in FL
Practice address
10345 NW 63Rd Dr
Parkland, FL 33076-2352
Phone
(754) 264-2407
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107748 FL Primary

Addresses

Primary practice location

10345 NW 63Rd Dr
Parkland, FL 33076-2352

Mailing address

10345 NW 63Rd Dr
Parkland, FL 33076-2352
Phone (754) 264-2407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140812000768 FL Practitioner - Physician Assistant 4284866146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 974-0400

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000

Hospital & facility affiliations

  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Surgical PLLC Physician Assistant Current Accepting new patients
Prohealth Select, Inc. Physician Assistant PastSince Dec 17, 2020 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474156800000",
    "number": "1366864985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 NW 63RD DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762352",
            "telephone_number": "754-264-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 NW 63RD DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762352",
            "telephone_number": "754-264-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELLO",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2016-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

Verify at the official NPI Registry.