Morris Heights Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

7000236R Issued in NY

Legal business name

MORRIS HEIGHTS HEALTH CENTER, INC.

Practice address

70 W Burnside Ave
Bronx, NY 10453-4016

Phone

(718) 716-4400

NPI assigned

Apr 12, 2018

Last updated

Apr 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamella AppiaNPI 1407452428

Title

Manager, Provider Enrollment & Mana

Phone

(718) 483-1270

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Womens Health Pavilion Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982101150. Details of each certification follow.

• CCN 571189 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 571189

Legal name

MORRIS HEIGHTS HEALTH CENTER, INC.

Doing business as

MORRIS HEIGHTS 233RD STREET

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 18, 2019

Last certification

Dec 18, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 17, 1984 in NY

Enrollment address

70 W Burnside Ave
Bronx, NY 10453-4016

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Morris Heights Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1023563863

  3072798172

  Same PAC ID
• Morris Heights Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1104374685

  3072798172

  Same PAC ID
• Morris Heights Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1184694291

  3072798172

  Same PAC ID
• Morris Heights Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bronx, NY
  • NPI 1669912341

  3072798172

  Same PAC ID
• Morris Heights Health Center, Inc.

  dba Omega Health Urgent Care

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1770166043

  3072798172

  Same PAC ID

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Prospere Remy, M.D.

  • Gastroenterology Physician
  • Bronx, NY
  • NPI 1801943048

  Corporate Director

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamella Appia

  • Social Worker
  • Bronx, NY
  • NPI 1407452428
  Authorized official Same address or phone

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1982101150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534015",
            "telephone_number": "718-716-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534016",
            "telephone_number": "718-716-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS HEIGHTS HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "APPIA",
        "authorized_official_first_name": "PAMELLA",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT & MANA",
        "authorized_official_telephone_number": "718-483-1270"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7000236R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00590390",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Health Pavilion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Morris Heights Health Center, Inc.
• Morris Heights Health Center, Inc.
• Morris Heights Health Center, Inc.
• Morris Heights Health Center, Inc.
• Morris Heights Health Center, Inc. (Omega Health Urgent Care)
• Morris Medical Office,PC
• Morris Park Family Chiropractic P.C.
• Morris Park Pharmacy Inc
• Morris Park Pharmacy Inc
• Morris Park Physical Therapy Services PC

• Federally Qualified Health Center (FQHC) in Bronx, NY
• Providers in Bronx, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.