Morrisania Diagnostic and Treatment Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

144173 Issued in NY

Legal business name

MORRISANIA DIAGNOSTIC AND TREATMENT CENTER

Practice address

158 E 115TH St
New York, NY 10029-2031

Phone

(212) 360-5919

Fax

(212) 828-0858

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Nellie Boma, M.D.

Title

Medical Director

Phone

(718) 960-2793

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730264151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E 115TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292031",
            "telephone_number": "212-360-5919",
            "fax_number": "212-828-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E 115TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292031",
            "telephone_number": "212-360-5919",
            "fax_number": "212-828-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISANIA DIAGNOSTIC AND TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOMA",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-960-2793",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "144173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanisha Morris, LMSW
• Ted Morris, DNP, APRN, FNP-BC
• Wallis Beth Morris, PT
• Yaffa Morris, PT, DPT
• Yvonne A Morris, RN
• Nancy Morrisett
• Morrison & Mortelliti Associates, Inc.
• Adriane Morrison
• Aimee Morrison
• Audrey Jane Morrison, PMHNP

• Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.