Individual provider Active NPI

Jeanne Marie Morris-Foley, NPP CS CASAC

  • Nurse Practitioner
  • Port Jefferson Station, NY
National Provider Identifier
1437189925
Registry record updated Apr 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F4001811 Issued in NY
Practice address
4655 Nesconset Hwy
Port Jefferson Station, NY 11776-2579
Phone
(631) 331-2424
Fax
(631) 642-7955
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F4001811 NY Primary

Addresses

Primary practice location

4655 Nesconset Hwy
Port Jefferson Station, NY 11776-2579

Mailing address

4655 Nesconset Hwy
Port Jefferson Station, NY 11776-2579
Phone (631) 331-2424

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000795 NY Practitioner - Nurse Practitioner 8628149119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4655 Nesconset Hwy
Port Jefferson Station, NY 11776-2579
Phone (631) 331-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F4001811NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanne M. Morris-Foley, NP Psychiatry, P.C. Nurse Practitioner CurrentSince Aug 1, 2009 Accepting new patients

Locations

4655 Nesconset Hwy
#1A
Port Jefferson Station, NY 11776
Phone (631) 331-2424

4655 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (516) 695-0157

1227 Main St
Ste 202
Prt Jefferson, NY 11777
Phone (631) 331-2424

Organizations & group practices 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1437189925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762579",
            "telephone_number": "631-331-2424",
            "fax_number": "631-642-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762579",
            "telephone_number": "631-331-2424",
            "fax_number": "631-642-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS-FOLEY",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NPP CS CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F4001811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.