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MORNINGSIDE MEDICAL PLLC
NPI 1811713142
Family Medicine in New York, NY

Active since December 02, 2024CLIA 33D2318979 · Waiver
2298 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027(877) 899-2829 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1811713142
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMORNINGSIDE MEDICAL PLLC
Location Address2298 FREDERICK DOUGLASS BLVDNew York, NY 10027-5324
Mailing Address2298 Frederick Douglass BlvdNew York, NY 10027-5324
Phone(877) 899-2829
Organization SubpartNo
Authorized OfficialShante HinsonMember Manager · (973) 798-8280
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1811713142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedPediatricsTaxonomy 208000000X
2298 FREDERICK DOUGLASS BLVD, New York, NY 10027
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, NY
Active · expires Feb 20, 2027
CLIA Number33D2318979
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorShante A. Hinson
Laboratory Phone(877) 899-2829
Laboratory LocationMorningside Medical PLLC2298 Frederick Douglass Blvd, Suite 9, New York, NY 10027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDICE NIKISHA FRASER M.D.
Obstetrics & Gynecology
2298 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
New York County (877) 899-2829
LYNN FAN ZHANG MPH, PA-C
Physician Assistant
2298 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
New York County (212) 300-2836
PATRICIA BEAUZILE M.D.
Obstetrics & Gynecology
2298 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10027
New York County (202) 630-6916

Frequently 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.

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 20 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.