NPIMap

Organization Active NPI

Morris Heights Health Center, Inc.

Doing business as Omega Health Urgent Care

  • Urgent Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1770166043
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MORRIS HEIGHTS HEALTH CENTER, INC.
Doing business as
Omega Health Urgent Care
Practice address
1 W Burnside Ave
Bronx, NY 10453-4003
Phone
(929) 238-1400
NPI assigned
May 4, 2021
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Johely Diaz
Title
Credentialing Coordinator
Phone
(718) 716-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1 W Burnside Ave
Bronx, NY 10453-4003

Mailing address

85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 716-4400

Other names 1

  • Omega Health Urgent Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL omega

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260417000294 NY Part A Provider - Federally Qualified Health Center (FQHC) 3072798172 Practice locations: Bronx, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770166043. Details of each certification follow.

Federally qualified health center certification: CCN 571944

Legal name
MORRIS HEIGHTS HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 21, 2026
Last certification
Apr 21, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1 W Burnside Ave
Bronx, NY 10453-4003

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Morris Heights Health Center Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mari G Millet Individual Corporate OfficerPresident and Ceo Oct 1, 2017
W-2 Managing EmployeePresident and Ceo Oct 1, 2017

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1770166043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534015",
            "telephone_number": "718-716-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534003",
            "telephone_number": "929-238-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS HEIGHTS HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JOHELY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "718-716-4400"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "omega",
            "affiliation": "N",
            "address_1": "1 W Burnside Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104534003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Omega Health Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.