Organization Active NPI

Morris Medical Office,PC

  • Clinic/Center
  • Bronx, NY
National Provider Identifier
1619100377
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
246337 Issued in NY
Legal business name
MORRIS MEDICAL OFFICE,PC
Practice address
602 Morris Ave
Bronx, NY 10451-4702
Phone
(718) 993-4348
NPI assigned
Aug 28, 2009
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Dr. Salman Hassan, MDNPI 1013105881
Title
Direct Owner
Phone
(718) 993-4348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 246337 NY Primary

Addresses

Primary practice location

602 Morris Ave
Bronx, NY 10451-4702

Mailing address

602 Morris Ave
Bronx, NY 10451-4702
Phone (718) 993-4348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091109000400 NY Part B Supplier - Clinic/Group Practice 7214075407 Receives reassigned benefits from 2 practitioners
Practice locations: Brentwood, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

1556 Islip Ave
Ste 1
Brentwood, NY 11717
Phone (631) 234-8555

1556 Islip Ave
Ste 2
Brentwood, NY 11717
Phone (631) 234-8555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1619100377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514702",
            "telephone_number": "718-993-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514702",
            "telephone_number": "718-993-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS MEDICAL OFFICE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "718-993-4348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "246337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.