Individual provider Active NPI

Ted Morris, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1982008132
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352848 Issued in NY
Practice address
152 E 118TH St
Suite# S1
New York, NY 10035-9295
Phone
(888) 341-6401
Fax
(888) 404-1588
NPI assigned
Oct 17, 2014
Reactivated
Feb 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0034174 OH
Family Nurse Practitioner 363LF0000X 352848 NY Primary

Addresses

Primary practice location

152 E 118TH St
Suite# S1
New York, NY 10035-9295

Mailing address

152 E 118TH St
Suite# S1
New York, NY 10035-9295
Phone (888) 341-6401

Other practice location 1

6779 Memphis Ave Ste 9
Brooklyn, OH 44144-2218
Phone (888) 341-6401

Other practice location 2

400 Rella Blvd
Montebello, NY 10901-4241
Phone (888) 341-6401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312001225 NY Practitioner - Nurse Practitioner 9931545035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0034174OHMDNurse Practitioner
352848NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Health Care Registered Nurse CurrentSince Oct 1, 2023 Accepting new patients

Locations

152 E 118th St
Apt S1
New York, NY 10035
Phone (347) 599-3380

6779 Memphis Ave
Ste 9
Brooklyn, OH 44144
Phone (888) 341-6401

Organizations & group practices 2

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1982008132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 E 118TH ST",
            "address_2": "SUITE# S1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100359295",
            "telephone_number": "888-341-6401",
            "fax_number": "888-404-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 E 118TH ST",
            "address_2": "SUITE# S1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100359295",
            "telephone_number": "888-341-6401",
            "fax_number": "888-404-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6779 Memphis Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "OH",
            "postal_code": "441442218",
            "country_code": "US",
            "telephone_number": "888-341-6401",
            "fax_number": "888-404-1588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Rella Blvd",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "NY",
            "postal_code": "109014241",
            "country_code": "US",
            "telephone_number": "888-341-6401",
            "fax_number": "888-404-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "TED",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "deactivation_date": "2020-10-06",
        "reactivation_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0034174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.