Organization Active NPI

Morissiana Medical Care,PLLC

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1831222157
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MORISSIANA MEDICAL CARE,PLLC
Practice address
1181 Boston Rd Ste 2
Bronx, NY 10456-5377
Phone
(347) 627-9130
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Emefre Amanam-Oscar Udo, MD
Title
Ceo
Phone
(347) 627-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1181 Boston Rd Ste 2
Bronx, NY 10456-5377

Mailing address

1181 Boston Rd Ste 2
Bronx, NY 10456-5377
Phone (347) 627-9130

National Provider Directory

National Provider Directory

Locations

1181 Boston Rd
Ste 2
Bronx, NY 10456
Phone (347) 627-9130

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1831222157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 BOSTON RD STE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565377",
            "telephone_number": "347-627-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 BOSTON RD STE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565377",
            "telephone_number": "347-627-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORISSIANA MEDICAL CARE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "UDO",
        "authorized_official_first_name": "EMEFRE",
        "authorized_official_middle_name": "AMANAM-OSCAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-627-9130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 2008; 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.