Individual provider Active NPI

Vanna Morero, M.D.

  • Internal Medicine Physician
  • Maspeth, NY
National Provider Identifier
1710947122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225071 Issued in NY
Practice address
6971 Grand Ave
Maspeth, NY 11378-1825
Phone
(718) 366-1583
Fax
(718) 963-6793
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 225071 NY Primary

Addresses

Primary practice location

6971 Grand Ave
Maspeth, NY 11378-1825

Mailing address

6971 Grand Ave
Maspeth, NY 11378-1825
Phone (171) 836-6158

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623001398 NY Practitioner - Internal MedicinePractitioner - Interventional RadiologyPractitioner - Emergency Medicine 6103801006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Interventional Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wyckoff Emergency Medicine Services, P.C.Group PAC ID 9234024852, 13 clinicians

Practice addresses (Care Compare)

149 Saint Nicholas Ave
Brooklyn, NY 11237-4439
Phone (718) 366-1583

374 Stockholm
37N
Brooklyn, NY 11237-4006
Phone (718) 963-6485

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
225071NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Medical Center Current Accepting new patients
Wyckoff Emergency Medicine Services, P.C. CurrentSince Jun 1, 1999 Accepting new patients

Locations

374 Stockholm St
#137N
Brooklyn, NY 11237
Phone (718) 963-6485

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: vannamorero@whmc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710947122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6971 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781825",
            "telephone_number": "171-836-6158",
            "fax_number": "718-963-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781825",
            "telephone_number": "718-366-1583",
            "fax_number": "718-963-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORERO",
        "first_name": "VANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

Verify at the official NPI Registry.