NPIMap

Individual provider Active NPI

Javier Morales, M.D.

  • Internal Medicine Physician
  • Greenvale, NY
National Provider Identifier
1508806712
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
205835 Issued in NY
Practice address
2200 Northern Blvd
Suite 133
Greenvale, NY 11548-1219
Phone
(516) 352-8100
Fax
(516) 352-7348
NPI assigned
Jun 7, 2006
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 205835 NY Primary

Addresses

Primary practice location

2200 Northern Blvd
Suite 133
Greenvale, NY 11548-1219

Mailing address

2200 Northern Blvd
Suite 133
Greenvale, NY 11548-1219
Phone (516) 352-8100

Other identifiers 3

IdentifierTypeStateIssuer
097AU1OtherNYBLUE CROSS
113633426OtherNYTAX ID
138681OtherNYHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000960 NY Practitioner - Internal Medicine 4082730114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Internal Medicine Group PCGroup PAC ID 5496647208, 5 clinicians

Practice addresses (Care Compare)

2200 Northern Blvd
Suite 133
Greenvale, NY 11548-1226
Phone (516) 352-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
205835NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Internal Medicine Group PC Internal Medicine CurrentSince Sep 13, 2001 Accepting new patients
St. Francis Hospital Past Accepting new patients

Locations

310 E Shore Rd
Ste 103
Great Neck, NY 11023
Phone (516) 352-8100

2200 Northern Blvd
Ste 133
Greenvale, NY 11548
Phone (516) 352-8100

3003 New Hyde Park Rd
Ste 201A
New Hyde Park, NY 11042
Phone (516) 352-8100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21626/brand/2/csg/1/fhir/r4
  • Direct secure messaging: javier.morales@aim310.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1508806712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD",
            "address_2": "SUITE 133",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481219",
            "telephone_number": "516-352-8100",
            "fax_number": "516-352-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD",
            "address_2": "SUITE 133",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481219",
            "telephone_number": "516-352-8100",
            "fax_number": "516-352-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "205835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "097AU1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "113633426",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "138681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

Verify at the official NPI Registry.