Active NPI
Jillian Beth Morgan, MS SP ED
- Specialist
- Ridgewood, NY
National Provider Identifier
1801169685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 174400000X
- Practice address
- 6023 71St Ave
Ridgewood, NY 11385-5143 - Phone
- (917) 952-2944
- NPI assigned
- Feb 9, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 174400000X | NY | Primary |
Addresses
Primary practice location
6023 71St Ave
Ridgewood, NY 11385-5143
Mailing address
6023 71St Ave
Ridgewood, NY 11385-5143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174400000X | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1801169685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6023 71ST AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6023 71ST AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855143",
"telephone_number": "917-952-2944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JILLIAN",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "MS SP ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "174400000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.