Active NPI
Morris A. Tilson, M.D.
- Internal Medicine Physician
- Goshen, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA03915300
- Practice address
- 1995 Route 17M
Suite 1
Goshen, NY 10924-5231 - Phone
- (845) 294-5406
- Fax
- (845) 294-7815
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 114319-1 | NY | |
| Internal Medicine Physician | 207R00000X | 25MA03915300 | NJ | Primary |
Addresses
Primary practice location
1995 Route 17M
Suite 1
Goshen, NY 10924-5231
Mailing address
1995 Route 17M
Suite 1
Goshen, NY 10924-5231
Phone (845) 294-5406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114319-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Valley Physician Services, Ny, PC | Current | Accepting new patients | |
| Balance and Memory Medical LLC | Internal Medicine | Current | Accepting new patients |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| United Clinical Group NJ | Internal Medicine | Current | Accepting new patients |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients |
Locations
14-23 River Rd
#2
Fair Lawn, NJ 07410
Phone (201) 703-0600
17-15 Maple Ave
Fair Lawn, NJ 07410
Phone (201) 796-1200
14-23 River Rd
Fair Lawn, NJ 07410
Phone (201) 703-0600
17-15 Maple Ave
Ste 120
Fair Lawn, NJ 07410
Phone (201) 830-2292
816 Kearny Ave
Kearny, NJ 07032
Phone (201) 991-4544
1598 US Highway 130
North Brunswick, NJ 08902
Phone (732) 297-0603
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400
1995 Route 17M
Ste 1
Goshen, NY 10924
Phone (845) 294-5406
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
200 W 57th St
New York, NY 10019
Phone (212) 247-8100
1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Family Medicine Physician
- Far Hills, NJ
- NPI 1831801083
Internal Medicine, NY
-
- Clinical Cardiac Electrophysiology Physician
- Ridgewood, NJ
- NPI 1457626558
NY
-
- Internal Medicine Physician
- Fair Lawn, NJ
- NPI 1033432992
-
- Urology Physician
- Oradell, NJ
- NPI 1710282082
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1730491945
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1851363964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 ROUTE 17M",
"address_2": "SUITE 1",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109245231",
"telephone_number": "845-294-5406",
"fax_number": "845-294-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 ROUTE 17M",
"address_2": "SUITE 1",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109245231",
"telephone_number": "845-294-5406",
"fax_number": "845-294-7815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILSON",
"first_name": "MORRIS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "114319-1",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03915300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.