Organization Active NPI

Morrison & Mortelliti Associates, Inc.

  • Optometrist
  • New York, NY
National Provider Identifier
1962770594
Registry record updated Dec 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004523-1 Issued in NY
Legal business name
MORRISON & MORTELLITI ASSOCIATES, INC.
Practice address
52 E 72ND St
New York, NY 10021-4266
Phone
(212) 439-9775
Fax
(212) 439-0796
NPI assigned
Dec 10, 2011
Last updated
Dec 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2011

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

Authorized official

Name
Dr. Tonia Mortelliti, O.D.
Title
Owner/Optometrist
Phone
(212) 439-9775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV004523-1 NY Primary

Addresses

Primary practice location

52 E 72ND St
New York, NY 10021-4266

Mailing address

52 E 72ND St
New York, NY 10021-4266
Phone (212) 439-9775

Other identifiers 1

IdentifierTypeStateIssuer
5131122OtherAETNA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323475200000",
    "number": "1962770594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214266",
            "telephone_number": "212-439-9775",
            "fax_number": "212-439-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214266",
            "telephone_number": "212-439-9775",
            "fax_number": "212-439-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISON & MORTELLITI ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-10",
        "last_updated": "2011-12-10",
        "status": "A",
        "authorized_official_last_name": "MORTELLITI",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "212-439-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004523-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5131122",
            "state": null
        }
    ],
    "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 Dec 10, 2011; 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.