Organization Active NPI

Marcelle M.Morcos, MD, PC

  • Ophthalmology Physician
  • Jamaica, NY
National Provider Identifier
1639470586
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
253774 Issued in NY
Legal business name
MARCELLE M.MORCOS, MD, PC
Practice address
8849 163Rd St
Jamaica, NY 11432-4046
Phone
(718) 658-2787
Fax
(718) 657-0840
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Dr. Marcelle Matta Morcos, M.D.
Title
Owner
Phone
(718) 658-2787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 141730 NY
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 253774 NY Primary

Addresses

Primary practice location

8849 163Rd St
Jamaica, NY 11432-4046

Mailing address

8849 163Rd St
Jamaica, NY 11432-4046
Phone (718) 658-2787

Other identifiers 2

IdentifierTypeStateIssuer
03130747MedicaidNY
00442379MedicaidNY

National Provider Directory

National Provider Directory

Locations

1 Wilben Ct
New Hyde Park, NY 11040
Phone (516) 775-0306

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1639470586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8849 163RD ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324046",
            "telephone_number": "718-658-2787",
            "fax_number": "718-657-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8849 163RD ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324046",
            "telephone_number": "718-658-2787",
            "fax_number": "718-657-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLE M.MORCOS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "MORCOS",
        "authorized_official_first_name": "MARCELLE",
        "authorized_official_middle_name": "MATTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-658-2787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "141730",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "253774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03130747",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00442379",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.