Active NPI
Melissa Morgan
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1740788694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 342507
- Practice address
- 303 Second Avenue
1St Floor, Suite 16
New York, NY 10003 - Phone
- (212) 598-6475
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 342507 | NY | Primary |
Addresses
Primary practice location
303 Second Avenue
1St Floor, Suite 16
New York, NY 10003
Mailing address
303 Second Avenue
Suite 16, 1St Floor
New York, NY 10003
Phone (347) 922-5002
Other practice location 1
1276 east 52 street
apt.1
brooklyn, NY 11234
Phone (347) 922-5002
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221208001636 | NY | Order and Referring Only - Family Practice | 2163891474 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- mmorgan82939@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541203200000",
"number": "1740788694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 SECOND AVENUE",
"address_2": "SUITE 16, 1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "347-922-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 SECOND AVENUE",
"address_2": "1ST FLOOR, SUITE 16",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-598-6475"
}
],
"practiceLocations": [
{
"address_1": "1276 east 52 street",
"address_2": "apt.1",
"address_purpose": "LOCATION",
"city": "brooklyn",
"state": "NY",
"postal_code": "11234",
"country_code": "US",
"telephone_number": "347-922-5002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORGAN",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2018-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "342507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.