Active NPI
Deena Morris, OTR
- Community Health Worker
- Passaic, NJ
National Provider Identifier
1568617496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 013128-1
- Practice address
- 241 Brook Ave
Apt 1
Passaic, NJ 07055-3311 - Phone
- (973) 246-7577
- NPI assigned
- Nov 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 013128-1 | NY | Primary |
Addresses
Primary practice location
241 Brook Ave
Apt 1
Passaic, NJ 07055-3311
Mailing address
241 Brook Ave
Apt 1
Passaic, NJ 07055-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013128-1 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1568617496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 BROOK AVE",
"address_2": "APT 1",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070553311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 BROOK AVE",
"address_2": "APT 1",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070553311",
"telephone_number": "973-246-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "DEENA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NY",
"license": "013128-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.