Active NPI
Jerilyn Pat Morrissey, MD
- Pediatrics Physician
- Newtown Square, PA
National Provider Identifier
1588348148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C54400
- Practice address
- 17 Campus Blvd Ste 200
Newtown Square, PA 19073-3257 - Phone
- (720) 402-0998
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C54400 | CA | Primary |
Addresses
Primary practice location
17 Campus Blvd Ste 200
Newtown Square, PA 19073-3257
Mailing address
15851 N County Road 7
Wellington, CO 80549-2107
Phone (630) 253-5425
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54400 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1588348148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15851 N COUNTY ROAD 7",
"city": "WELLINGTON",
"state": "CO",
"postal_code": "805492107",
"telephone_number": "630-253-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CAMPUS BLVD STE 200",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733257",
"telephone_number": "720-402-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISSEY",
"first_name": "JERILYN",
"middle_name": "PAT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C54400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.