MORRISANIA DIAGNOSTIC AND TREATMENT CENTER (NPI# 1184166217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184166217 |
| Entity Type | Organization |
| Organization Name | MORRISANIA DIAGNOSTIC AND TREATMENT CENTER |
| Practice Address |
1225 Gerard Ave Bronx NY 10452-8001 |
| Practice Telephone | 7189602972 |
| Practice Fax Number | 7189602948 |
| Mailing Telephone | 7189602972 |
| Mailing Fax Number | 7189602948 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | LYDIA ROSA (ASSISTANT CLINIC DIRECTOR) |
| Authorized Official Telephone | 7189602865 |
| Authorized Official Credential | LCSW-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
098645 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730264151 | Morrisania Diagnostic and Treatment Center | Clinic/Center | 158 E 115th St, New York, NY 10029-2031 | 2006-10-25 |
| 1528366945 | Morrisania Diagnostic and Treatment Center | General Acute Care Hospital | 1225 Gerard Ave, Bronx, NY 10452-8001 | 2011-03-09 |
| Street Address |
1225 GERARD AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10452-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811986151 | Robert S. Ratkewitch | Dentist | 1225 Gerard Ave, Bronx, NY 10452-8001 | 2005-10-19 |
| 1770123754 | Michelle Shaina Siegel | Social Worker | 1225 Gerard Ave, Bronx, NY 10452-8015 | 2020-01-08 |
| 1104464619 | Jennifer Hernandez | Social Worker | 1225 Gerard Ave, Bronx, NY 10452-8015 | 2019-12-16 |
| 1306487954 | Amber N Bradley | Pharmacist | 1225 Gerard Ave, Bronx, NY 10452-8015 | 2019-10-04 |
| 1073078838 | Kari Menachem | Social Worker | 1225 Gerard Ave, Bronx, NY 10452-8001 | 2019-02-06 |
| 1114493418 | Linda Azon | Social Worker | 1225 Gerard Ave, Bronx, NY 10452-8001 | 2018-10-15 |
| 1699289942 | Hossam Eldin Shawky Fayed | Internal Medicine | 1225 Gerard Ave, Bronx, NY 10452-8001 | 2017-11-23 |
| 1205351160 | Kimberly Nicole Vasquez Panchana | Social Worker | 1225 Gerard Ave, Bronx, NY 10452-8015 | 2017-08-11 |
| 1669914495 | Owen Harley | Social Worker | 1225 Gerard Ave, Bronx, NY 10452-8001 | 2016-11-10 |
| 1649729237 | Morrisania Diagnostic and Treament Center | Case Management | 1225 Gerard Ave, Bronx, NY 10452-8001 | 2016-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961961 | City Medical of Upper East Side, Pllc | Clinic/Center | 48 East 170th Street, Bronx, Ny 10452, Bronx, NY 10452 | 2020-10-27 |
| 1194205096 | Lorraine E Essien | Licensed Practical Nurse | 1491 Macombs Road, Apt 4j, Bronx, NY 10452 | 2018-08-20 |
| 1578042768 | Latisha Monique Williams | Registered Nurse | 1465 Nelson Avenue, #2g, Bronx, NY 10452 | 2018-08-09 |
| 1073022695 | Jenny Amparo Calderon | Case Manager/Care Coordinator | 1265 Gerard Avenue Apt 4f, Bronx, NY 10452 | 2017-09-26 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1548786288 | James Bishop Jr. | Counselor | 1366 Inwood Ave 1st Floor, Bronx, NY 10452 | 2017-08-15 |
| 1346763315 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 88 Featherbed Ln, Bronx, NY 10452 | 2017-07-21 |
| 1841712205 | Gloria Susanah Tirado | Registered Nurse | 95 W 162nd Street Apt 26, Bronx, NY 10452 | 2017-07-07 |
| 1568999266 | Madeline Mora | Occupational Therapy Assistant | 1424 Shakespeare Ave, Apt# 2fl, Bronx, NY 10452 | 2017-05-12 |
| 1265963995 | Nana Yaa Darkwah | Licensed Practical Nurse | 1475 Wythe Place#6d, Bronx, NY 10452 | 2017-03-24 |
| Find all providers in zip 10452 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
| 1467076968 | B Well With Brooke LLC | Clinic/Center | 3750 Hudson Manor Ter Apt 1ae, Bronx, NY 10463-1167 | 2020-06-01 |
| 1366988362 | Postgraduate Center for Mental Health | Clinic/Center | 3525 Hull Ave, Bronx, NY 10467-1604 | 2017-01-13 |
| 1629440888 | Samaritan Daytop Village, Inc. | Clinic/Center | 2780 3rd Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1215313184 | Safe Space Therapy Services, Lcsw, Pllc | Clinic/Center | 981 Morris Park Ave, Bronx, NY 10462-3766 | 2015-08-03 |
| 1871974261 | Milestone Psychotherapy, Lcsw, PC | Clinic/Center | 2010 Williamsbridge Rd, 2nd Floor, Bronx, NY 10461-1603 | 2015-06-11 |
| 1023130580 | Our Lady of Mercy Mhc | Clinic/Center | 4401 Bx. Boulevard, Bronx, NY 10470 | 2007-04-04 |
| 1932231107 | Fordham Tremont Cmhc | Clinic/Center | 2021 Grandconcourse Ave, Bronx, NY 10469 | 2007-03-12 |
| 1710022330 | Argus Community, Inc. | Clinic/Center | 402 E 156th St, Bronx, NY 10455-1232 | 2007-02-21 |
| 1962593210 | Yeshiva University | Clinic/Center | 2527 Glebe Avenue, Bronx, NY 10461 | 2006-09-28 |
| Find all providers in BRONX | ||||
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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.