Active NPI
Marcelle M.Morcos, MD, PC
- Ophthalmology Physician
- Jamaica, NY
National Provider Identifier
1639470586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 253774
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 141730 | NY | |
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03130747 | Medicaid | NY | |
| 00442379 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.