Active NPI
Eileen Patricia Morrissey, D.D.S.
- Dentist
- Whitestone, NY
National Provider Identifier
1639212327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 04146-7
- Practice address
- 1902 Whitestone Expy
403
Whitestone, NY 11357-3099 - Phone
- (718) 767-2862
- Fax
- (718) 767-2863
- NPI assigned
- Feb 14, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 04146-7 | NY | Primary |
Addresses
Primary practice location
1902 Whitestone Expy
403
Whitestone, NY 11357-3099
Mailing address
1902 Whitestone Expy
403
Whitestone, NY 11357-3099
Phone (718) 767-2862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150727000758 | NY | Practitioner - Oral Surgery | 5991018582 | Practice locations: Whitestone, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04146-7 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639212327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 WHITESTONE EXPY",
"address_2": "403",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573099",
"telephone_number": "718-767-2862",
"fax_number": "718-767-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 WHITESTONE EXPY",
"address_2": "403",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113573099",
"telephone_number": "718-767-2862",
"fax_number": "718-767-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISSEY",
"first_name": "EILEEN",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "04146-7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitestone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.