NPIMap

Organization Active NPI

Morgan Medical Corp

  • Diagnostic Radiology Physician
  • Titusville, FL
National Provider Identifier
1679566756
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC 3683 Issued in FL
Legal business name
MORGAN MEDICAL CORP
Practice address
1905 Jess Parrish CT
Titusville, FL 32796-2146
Phone
(888) 440-6494
Fax
(321) 269-2611
NPI assigned
Aug 24, 2005
Organization subpart
Yes
Parent organization
MORGAN MEDICAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Laura Pozuelos
Title
Manager of Corporate Billing
Phone
(973) 873-9895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X HCC 3683 FL Primary

Addresses

Primary practice location

1905 Jess Parrish CT
Titusville, FL 32796-2146

Mailing address

1455 Broad St
FL 4
Bloomfield, NJ 07003-3003
Phone (973) 707-1100

Other identifiers 1

IdentifierTypeStateIssuer
57069602MedicaidFL

Other names 1

  • MRI of North Brevard Doing business as

National Provider Directory

National Provider Directory
Part of
Sarasota Diagnostic Cen

Locations

1905 Jess Parrish Ct
Titusville, FL 32796
Phone (321) 269-1693

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1679566756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST",
            "address_2": "FL 4",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033003",
            "telephone_number": "973-707-1100",
            "fax_number": "973-707-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 JESS PARRISH CT",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962146",
            "telephone_number": "888-440-6494",
            "fax_number": "321-269-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN MEDICAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORGAN MEDICAL CORP",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "POZUELOS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER OF CORPORATE BILLING",
        "authorized_official_telephone_number": "973-873-9895"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC 3683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57069602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI of North Brevard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.