Active NPI
Joseph T Morelli III, D.O.
- Family Medicine Physician
- Marathon, FL
National Provider Identifier
1619047495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS11563
- Practice address
- 2855 Overseas Hwy
Marathon, FL 33050-2239 - Phone
- (305) 743-4000
- Fax
- (305) 743-4000
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006688E | PA | |
| Family Medicine Physician | 207Q00000X | OS11563 | FL | Primary |
Addresses
Primary practice location
2855 Overseas Hwy
Marathon, FL 33050-2239
Mailing address
10300 SW 216TH St
Cutler Bay, FL 33190-1003
Phone (305) 278-6434
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000546347 | Other | PA | HIGHMARK PROVIDER ID |
| 004576700 | Medicaid | FL | |
| 001147571 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11563 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce E Abbott | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Greenville, PA
- NPI 1619069085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1619047495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 SW 216TH ST",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331901003",
"telephone_number": "305-278-6434",
"fax_number": "305-278-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 OVERSEAS HWY",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502239",
"telephone_number": "305-743-4000",
"fax_number": "305-743-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELLI",
"first_name": "JOSEPH",
"middle_name": "T",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006688E",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS11563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PROVIDER ID",
"identifier": "000546347",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004576700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001147571",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marathon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.