M.Island Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

234466 Issued in NY

Legal business name

M.ISLAND MEDICAL PC

Practice address

50 E 42ND St
407
New York, NY 10017-5405

Phone

(212) 661-7003

Fax

(212) 661-7005

NPI assigned

Feb 6, 2014

Last updated

Feb 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maggie Morr, M.D.

Title

President

Phone

(212) 661-7003

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1639593031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 42ND ST RM 407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175437",
            "telephone_number": "212-661-7003",
            "fax_number": "212-661-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 42ND ST",
            "address_2": "407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175405",
            "telephone_number": "212-661-7003",
            "fax_number": "212-661-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.ISLAND MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "MORR",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-661-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "234466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.