Morero-Mardach Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

225309 Issued in NY

Legal business name

MORERO-MARDACH MEDICAL GROUP PC

Practice address

149 St.Nicholas Ave
Brooklyn, NY 11237

Phone

(718) 366-1583

Fax

(718) 386-0080

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vanna G Morero, M.D.NPI 1710947122

Title

Owner

Phone

(718) 366-1583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Vanna Morero, M.D.

  • Internal Medicine Physician
  • Maspeth, NY
  • NPI 1710947122
  Medicare reassignment Authorized official
• Joseph Francis Ewa, M.D

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1285808105
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1679775159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 ST.NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-366-1583",
            "fax_number": "718-386-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ST.NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-366-1583",
            "fax_number": "718-386-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORERO-MARDACH MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "MORERO",
        "authorized_official_first_name": "VANNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-366-1583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erick Moreno
• Guillerma Moreno, LMT
• Karen Moreno, MS, RD, CDN
• Katherine Michelle Moreno
• Lesly Catalina Moreno
• George Gilbert Mores, PT
• Moretti & Racco Medical Associates, PC
• Victoria Morey, SLP
• Morgan Pepper LCSW PC
• Christina Morgan-Diaz, MHC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.