Individual provider Active NPI

Jennette Morgan, CNM

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1407375934
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
001867 Issued in NY
Practice address
2183 Ocean Ave
Brooklyn, NY 11229
Phone
(718) 336-4119
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 423 CT
Midwife 176B00000X 001867 NY Primary

Addresses

Primary practice location

2183 Ocean Ave
Brooklyn, NY 11229

Mailing address

290 Hungry Hollow Rd
Chestnut Ridge, NY 10977-6304
Phone (845) 641-4633

Other practice location 1

411 Durham Rd
Madison, CT 06443-2041
Phone (203) 318-8884

Other practice location 2

411 Durham Rd
Madison, CT 06443-2041
Phone (203) 318-8884

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001867NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Hospital Past Accepting new patients
Birth and Beyond Inc, Midwife Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1407375934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 HUNGRY HOLLOW RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776304",
            "telephone_number": "845-641-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-336-4119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Durham Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064432041",
            "country_code": "US",
            "telephone_number": "203-318-8884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Durham Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064432041",
            "country_code": "US",
            "telephone_number": "203-318-8884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JENNETTE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CT",
            "license": "423",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001867",
            "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 Oct 10, 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.