Organization Active NPI

Morris Family Medical PLLC

  • Clinic/Center
  • Bronx, NY
National Provider Identifier
1760897433
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
251820 Issued in NY
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

Updated by the provider on Dec 30, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03132285MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.