MR. EDWARD M MCMORRIS I (NPI# 1770926347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770926347 |
| Entity Type | Individual |
| Full Name | MR. EDWARD M MCMORRIS I |
| Other Name | MR. EDWARD M MCMORRIS I |
| Practice Address |
6207 Woodside Ave Woodside NY 11377-3576 |
| Practice Telephone | 7188985085 |
| Practice Fax Number | 7188985085 |
| Mailing Telephone | 7188985085 |
| Mailing Fax Number | 7188985582 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 28720 | NY | Other Service Providers |
| Street Address |
6207 WOODSIDE AVE |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-3576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053532903 | Abigail Morales | Physical Therapist | 6207 Woodside Ave, Woodside, NY 11377-3576 | 2007-05-01 |
| 1417314154 | Mental Health Providers of Western Queens, Inc. | Clinic/Center | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3576 | 2016-01-26 |
| 1124499868 | Melissa Revelo | Counselor | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3576 | 2015-10-07 |
| 1801231303 | Michelle Ranelli | Social Worker | 6207 Woodside Ave, Woodside, NY 11377-3576 | 2013-05-09 |
| 1447591722 | Steven Bryant Hollis | Counselor | 6207 Woodside Ave, Woodside, NY 11377-3576 | 2013-03-11 |
| 1366791030 | Cheryl Maribel Lazo-montanez | Social Worker | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3576 | 2012-09-10 |
| 1912262312 | Jill Mastrandrea | Counselor | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3576 | 2012-07-11 |
| 1174894224 | Daniel J Giuseffi | Social Worker | 6207 Woodside Ave, Woodside, NY 11377-3576 | 2012-01-21 |
| 1104146794 | Noelle Smith | Counselor | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3653 | 2010-06-04 |
| 1295054443 | Antoinette Alvarado | Counselor | 6207 Woodside Ave, 4th Floor, Woodside, NY 11377-3653 | 2010-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508301938 | Stephany Juarez | Case Manager/Care Coordinator | 5006 46th St Apt 4a, Woodside, NY 11377-7359 | 2016-12-20 |
| 1619429024 | Amparo Morales | Case Manager/Care Coordinator | 3341 60th Pl, Woodside, NY 11377-2221 | 2016-11-01 |
| 1780046573 | Priyanka Thapa | Case Manager/Care Coordinator | 4014 62nd St Apt 2f, Woodside, NY 11377-4995 | 2016-03-22 |
| 1841666591 | Rakshenda Ahmed | Case Manager/Care Coordinator | 5058 69th St, Woodside, NY 11377-7541 | 2015-08-18 |
| 1942612544 | Sohayla Abdelrahman | Case Manager/Care Coordinator | 3052 Hobart St, Woodside, NY 11377-1459 | 2014-05-30 |
| 1831516343 | Catherine Ponzi | Case Manager/Care Coordinator | 42-77 65th Place, Woodside, NY 11377 | 2014-03-21 |
| 1346665213 | William Tong | Case Manager/Care Coordinator | 5330 Skillman Ave Apt 4r, Woodside, NY 11377-4134 | 2014-02-28 |
| 1164853248 | Jomara Lopez | Case Manager/Care Coordinator | 5032 31st Ave, Apt. 4d, Woodside, NY 11377-1361 | 2013-11-27 |
| 1992134464 | Stephanie Pimentel | Case Manager/Care Coordinator | 5028 31st Ave, Woodside, NY 11377-1360 | 2013-11-05 |
| 1114289584 | Ana Arellano | Case Manager/Care Coordinator | 4725 48th St, 2a, Woodside, NY 11377-6644 | 2012-06-12 |
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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.