Active NPI
Meredith L Moroff, M.D.
- Psychiatry Physician
- Bronx, NY
National Provider Identifier
1417136052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 233270
- Practice address
- 711 Nereid Ave
Bronx, NY 10466-1201 - Phone
- (631) 935-8217
- NPI assigned
- Oct 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA11590700 | NJ | |
| Psychiatry Physician | 2084P0800X | 233270 | NY | Primary |
Addresses
Primary practice location
711 Nereid Ave
Bronx, NY 10466-1201
Mailing address
78 Lakewood Ave
Ronkonkoma, NY 11779-5839
Phone (631) 935-8217
Other practice location 1
78 Lakewood Ave
Ronkonkoma, NY 11779-5839
Phone (631) 935-8217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11590700 | NJ | MD | Psychiatry Physician |
| 233270 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rochester | Single Specialty | Current | Accepting new patients |
| The Long Island Home | Single Specialty | Current | Accepting new patients |
| University of Rochester | Single Specialty | Current | Accepting new patients |
| University of Rochester | Current | Accepting new patients | |
| The Long Island Home | Single Specialty | Current | Accepting new patients |
| Brookhaven Memorial Hospital Medical Center, Inc. | Single Specialty | Current | Accepting new patients |
| Long Island Community Hospital at NYU Langone Health | Current | Accepting new patients | |
| Brookhaven Memorial Hospital Medical Center, Inc. | Single Specialty | Current | Accepting new patients |
| Phyllis Mandel MD PLLC | Single Specialty | Past | Accepting new patients |
| Hospitalist Healthcare Services PLLC | Single Specialty | Past | Accepting new patients |
| Innovative Psychiatricare PC | Single Specialty | Past | Accepting new patients |
Locations
400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- mmoroff1477199@nychhc.direct-ci.com
Organizations & group practices 11
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Patchogue, NY
- NPI 1417232760
Single Specialty
-
- Psychiatry Physician
- Patchogue, NY
- NPI 1346429115
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shirley, NY
- NPI 1902029796
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1275962011
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1417136052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 LAKEWOOD AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117795839",
"telephone_number": "631-935-8217",
"fax_number": "631-676-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 NEREID AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104661201",
"telephone_number": "631-935-8217"
}
],
"practiceLocations": [
{
"address_1": "78 Lakewood Ave",
"address_purpose": "LOCATION",
"city": "Ronkonkoma",
"state": "NY",
"postal_code": "117795839",
"country_code": "US",
"telephone_number": "631-935-8217",
"fax_number": "631-676-5214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOROFF",
"first_name": "MEREDITH",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-31",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA11590700",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "233270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.