MORNINGSIDE MEDICAL PLLC
NPI 1811713142
Family Medicine in New York, NY
About Morningside Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MORNINGSIDE MEDICAL PLLC (NPI 1811713142) is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Shante Hinson, Member Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Morningside Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Morningside Medical PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2318979
Morningside Medical PLLC · New York, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Morningside Medical PLLC's NPI number?
The NPI number for Morningside Medical PLLC is 1811713142. It was assigned to this organization in the NPPES registry on December 2, 2024.
Where is Morningside Medical PLLC located?
Morningside Medical PLLC is located at 2298 Frederick Douglass Blvd, New York, NY 10027. The listed phone number is (877) 899-2829.
What is Morningside Medical PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Morningside Medical PLLC enrolled in Medicare?
Yes. Morningside Medical PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Morningside Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Morningside Medical PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Morningside Medical PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2318979) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Morningside Medical PLLC was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Morningside Medical Pllc · NPI 1811713142
Family Medicine organization in New York, New York. Organization record, active in the CMS NPPES registry since December 2, 2024.
## Identity
- **NPI:** 1811713142 (Entity type: Organization)
- **Enumerated:** December 2, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shante Hinson, MEMBER MANAGER
## Practice location
- **Address:** 2298 FREDERICK DOUGLASS BLVD, New York, NY 10027-5324
- **Phone:** (877) 899-2829
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811713142) · Data from the CMS NPPES public registry.