Individual provider Active NPI

Katherine Bianca Morgera-Clores, D.O.

  • Pediatrics Physician
  • Smithtown, NY
National Provider Identifier
1528327277
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
279838 Issued in NY
Practice address
260 E Middle Country Rd Ste 107
Smithtown, NY 11787-2923
Phone
(631) 979-7222
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 279838 NY Primary

Addresses

Primary practice location

260 E Middle Country Rd Ste 107
Smithtown, NY 11787-2923

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-0650

Other practice location 1

100 Nicolls Rd
Emergency Department, Level 4
Stony Brook, NY 11794-0001
Phone (631) 444-6706

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katherine.morgera@direct.stonybrookmedicine.edu Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826001470 NY Practitioner - Pediatric Medicine 6103132840 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279838NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital at Stony Brook Current Accepting new patients
Stony Brook Children's Service, University Faculty Practice Corporatio Pediatrics CurrentSince Jul 1, 2015 Accepting new patients

Locations

2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300

260 E Middle Country Rd
Ste 107
Smithtown, NY 11787
Phone (631) 979-7222

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

100 Nicolls Rd
#4
Stony Brook, NY 11794
Phone (631) 444-6706

Networks

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

Interoperability endpoints

  • Direct secure messaging: katherine.morgeraclores@direct.stonybrookmedicine.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1528327277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "631-444-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E MIDDLE COUNTRY RD STE 107",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872923",
            "telephone_number": "631-979-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Nicolls Rd",
            "address_2": "Emergency Department, Level 4",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117940001",
            "country_code": "US",
            "telephone_number": "631-444-6706",
            "fax_number": "631-444-2894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGERA-CLORES",
        "first_name": "KATHERINE",
        "middle_name": "BIANCA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "279838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.morgera@direct.stonybrookmedicine.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "260 E Middle Country Rd Ste 107",
            "city": "Smithtown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117872923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.