Active NPI
Morris Family Medical PLLC
- Clinic/Center
- Bronx, NY
National Provider Identifier
1760897433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 251820
- Legal business name
- MORRIS FAMILY MEDICAL PLLC
- Practice address
- 602 Morris Ave
Bronx, NY 10451-4702 - Phone
- (718) 993-4348
- Fax
- (718) 993-4685
- NPI assigned
- Jun 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amber Hassan, DO
- Title
- Physican
- Phone
- (718) 993-4348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 251820 | NY | Primary |
Addresses
Primary practice location
602 Morris Ave
Bronx, NY 10451-4702
Mailing address
602 Morris Ave
Bronx, NY 10451-4702
Phone (718) 993-4348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03132285 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Bronx, NY
- NPI 1013105881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419897600000",
"number": "1760897433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 MORRIS AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104514702",
"telephone_number": "718-993-4348",
"fax_number": "718-993-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 MORRIS AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104514702",
"telephone_number": "718-993-4348",
"fax_number": "718-993-4685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRIS FAMILY MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-21",
"last_updated": "2014-12-30",
"status": "A",
"authorized_official_last_name": "HASSAN",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "PHYSICAN",
"authorized_official_telephone_number": "718-993-4348",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "251820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03132285",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.