Mount Moriah Medical Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOUNT MORIAH MEDICAL CENTER, LLC

Practice address

435 Montauk Ave
New London, CT 06320-4621

Phone

(860) 444-7400

Fax

(860) 444-7401

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Harold Phillips Jr., M.D.

Title

Physician/Owner

Phone

(860) 460-2183

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mount Moriah Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phillips Integrative Health

  • Primary Care Clinic/Center
  • Groton, CT
  • NPI 1619254752
  NPD tax ID

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1558308445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 304",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851219",
            "telephone_number": "860-442-7027",
            "fax_number": "860-444-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204621",
            "telephone_number": "860-444-7400",
            "fax_number": "860-444-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT MORIAH MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "860-460-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILD ROAD MEDICARE GROUP",
            "identifier": "CH6914",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morren & Nomizu
• Morren & Nomizu MD PC
• Edith Morren-Morrison, APRN
• Michael Moschella, DPT, ATC
• Chevelle Moss-Savage, LPC
• Kristyn Marie Mowry, PA-C
• Amelia Mueller
• Patti Mugo, MD
• Rachael Mullen, LPC
• Nicole Muscato, MD

• Family Medicine Physician in New London, CT
• Providers in New London, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.