Individual provider Active NPI

Chana Rachel Morgenstern, FNP-BC

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1669879706
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341137 Issued in NY
Practice address
14449 70TH Ave
Flushing, NY 11367-1713
Phone
(718) 263-0600
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 692465 NY
Family Nurse Practitioner 363LF0000X 341137 NY Primary

Addresses

Primary practice location

14449 70TH Ave
Flushing, NY 11367-1713

Mailing address

14429 76TH Ave
Flushing, NY 11367-3115

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218001007 NY Practitioner - Nurse Practitioner 9739424805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
692465NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Damian Family Care Centers, Inc. CurrentSince Sep 11, 2018 Accepting new patients
Damian Family Care Centers, Inc. CurrentSince Sep 11, 2018 Accepting new patients

Locations

8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000

13802 Queens Blvd
Ste 2
Jamaica, NY 11435
Phone (718) 657-1100

13750 Jamaica Ave
Jamaica, NY 11435
Phone (718) 298-5100

11711 Myrtle Ave
Richmond Hill, NY 11418
Phone (718) 847-9233

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1669879706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14429 76TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14449 70TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671713",
            "telephone_number": "718-263-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGENSTERN",
        "first_name": "CHANA",
        "middle_name": "RACHEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "692465",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.