MORRISANIA DIAGNOSTIC AND TREATMENT CENTER (NPI# 1730264151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730264151 |
| Entity Type | Organization |
| Organization Name | MORRISANIA DIAGNOSTIC AND TREATMENT CENTER |
| Practice Address |
158 E 115th St New York NY 10029-2031 |
| Practice Telephone | 2123605919 |
| Practice Fax Number | 2128280858 |
| Mailing Telephone | 2123605919 |
| Mailing Fax Number | 2128280858 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NELLIE BOMA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7189602793 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 144173 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184166217 | Morrisania Diagnostic and Treatment Center | Clinic/Center | 1225 Gerard Ave, Bronx, NY 10452-8001 | 2016-11-07 |
| 1528366945 | Morrisania Diagnostic and Treatment Center | General Acute Care Hospital | 1225 Gerard Ave, Bronx, NY 10452-8001 | 2011-03-09 |
| Street Address |
158 E 115TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389321 | Sarai Cerezo | Social Worker | 158 E 115th St, New York, NY 10029-2025 | 2017-07-24 |
| 1114130960 | Robert Joseph Grace | Dentist | 158 E 115th St, Suite 222, New York, NY 10029-2031 | 2007-05-08 |
| 1689887259 | Anthony T. Nguyen | Dentist | 158 E 115th St, Suite 222, New York, NY 10029-2031 | 2007-05-08 |
| 1740493477 | Charles Pellicane | Dentist | 158 E 115th St, Suite 222, New York, NY 10029-2031 | 2007-05-08 |
| 1780897363 | Stuart Farber | Dentist | 158 E 115th St, Suite 222, New York, NY 10029-2031 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1629600101 | Stim Acupuncture and Physical Therapy Pllc | Clinic/Center | 139 Fulton Street, Rm 208, New York, NY 10038-2538 | 2020-02-12 |
| 1811531528 | Beacon Christian Community Health Center, Inc. | Clinic/Center | 115 W 45th St Fl 4, New York, NY 10036-4005 | 2019-11-06 |
| 1629637863 | Fifth Avenue Acup Health Inc | Clinic/Center | 2 W 45th St Ste 1702, New York, NY 10036-4221 | 2019-06-11 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1932662624 | Downtown Kids Therapy Ot Pt Slp Pllc | Clinic/Center | 179 Franklin St Unit 4r, New York, NY 10013-2857 | 2019-04-09 |
| 1609347145 | Shannamd | Clinic/Center | 332 E 67th St Apt 14, New York, NY 10065-6265 | 2018-12-10 |
| 1205303591 | Logistics Health Inc. | Clinic/Center | 156 William St Fl 4, New York, NY 10038-2609 | 2018-10-25 |
| 1275018301 | Rks Surgery and Wellness PC | Clinic/Center | 67 Irving Place 10 Th Floor, New York, NY 10003 | 2018-09-25 |
| 1760965453 | Elite Skin Care Nyc | Clinic/Center | 42 Broadway Fl 12, New York, NY 10004-3892 | 2018-09-10 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.