Individual provider Active NPI

Georgette Alicia Morgan

  • Specialist
  • New York, NY
National Provider Identifier
1922571512
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
943710151 Issued in NY
Practice address
225 Broadway Ste 2710
New York, NY 10007-3032
Phone
(646) 875-8853
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 943710151 NY Primary

Addresses

Primary practice location

225 Broadway Ste 2710
New York, NY 10007-3032

Mailing address

561 Route 9W
Piermont, NY 10968-1116
Phone (845) 680-1420

Other practice location 1

561 Route 9W
Piermont, NY 10968-1116
Phone (845) 680-1420 ext. 1417

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

State licenses

LicenseStateTypeSpecialty
943710151NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gotham Children Licensed Behavior Analysts PC CurrentSince Aug 23, 2020 Accepting new patients

Locations

225 Broadway
Ste 2710
New York, NY 10007
Phone (646) 600-8456

Organizations & group practices 1

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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1922571512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 ROUTE 9W",
            "city": "PIERMONT",
            "state": "NY",
            "postal_code": "109681116",
            "telephone_number": "845-680-1420",
            "fax_number": "845-789-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 2710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073032",
            "telephone_number": "646-875-8853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "561 Route 9W",
            "address_purpose": "LOCATION",
            "city": "Piermont",
            "state": "NY",
            "postal_code": "109681116",
            "country_code": "US",
            "telephone_number": "845-680-1420 x1417",
            "fax_number": "845-789-8013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "GEORGETTE",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "943710151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.