Jeffrey Bruce Morris, MD
Individual provider Active NPI Emergency Medicine Physician · Mount Holly, NJ
NPI 1891733648 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891733648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 25MA03928300 (NJ)
- Practice address
- 175 Madison Ave
Mount Holly, NJ 08060-2038 - Phone
- (609) 267-0700
- Fax
- (609) 914-6067
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110124000459 | NJ | Practitioner - Emergency Medicine | 5294701140 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03928300 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Emergency Physicians, PA | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA03928300 | NJ | Yes |
Addresses
Primary practice location
175 Madison Ave
Mount Holly, NJ 08060-2038
Mailing address
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 267-0700
Other providers in Mount Holly, NJ
- Amanda Lynn Mitchell
- Jacqueline Mitchell
- Sanaa Saher Mithaiwala
- Mobile Physician Group, PC
- Sergey Moldavskiy
- Morrone & Kaye Orthodontics P.a.
- Jacqueline Schuler Moss
- Mount Holly Family Dentistry LLC
- Mount Holly Township Public Schools
- Mt Holly Family Dentistry, PA
All providers in Mount Holly, NJ · Emergency Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.