Individual provider Active NPI

Morris A. Tilson, M.D.

  • Internal Medicine Physician
  • Goshen, NY
National Provider Identifier
1851363964
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03915300 Issued in NJ
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

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100810000561 NJ Practitioner - Internal Medicine 9335273556 Reassigns benefits to 2 organizations
I20100824000900 NY Practitioner - Internal Medicine 9335273556 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
114319-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Valley Physician Services, Ny, PC CurrentSince Jul 1, 2012 Accepting new patients
Balance and Memory Medical LLC Internal Medicine CurrentSince Mar 1, 2010 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jun 5, 2017 Accepting new patients
United Clinical Group NJ Internal Medicine CurrentSince Dec 26, 2022 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jun 5, 2017 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.

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

Verify at the official NPI Registry.