Individual provider Active NPI

Joanne Moreau, M.D.

  • Allergy Physician
  • Brooklyn, NY
National Provider Identifier
1003071127
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
260729 Issued in NY
Practice address
32 Court St Ste 1200
Brooklyn, NY 11201-4440
Phone
(929) 239-4495
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology Physician 2080P0201X 260729 NY
Allergy Physician 207KA0200X 260729 NY Primary

Addresses

Primary practice location

32 Court St Ste 1200
Brooklyn, NY 11201-4440

Mailing address

32 Court St Ste 1200
Brooklyn, NY 11201-4440
Phone (929) 239-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140305000681 NY Practitioner - Pediatric Medicine 7113114935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
260729NYMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
For the Treatment of Allergies in New York, P.C. Allergy CurrentSince Nov 1, 2022 Accepting new patients

Locations

32 Court St
Ste 1200
Brooklyn, NY 11201
Phone (518) 232-8600

32 Court St
Fl 12
Brooklyn, NY 11201

414 E 75th St
Fl 3
New York, NY 10021
Phone (650) 466-6224

Interoperability endpoints

  • Direct secure messaging: joannemoreau@mai.allscriptsdirect.net
  • Direct secure messaging: latitudefoodallergycare.joannemoreau@152968.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1003071127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COURT ST STE 1200",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014440",
            "telephone_number": "929-239-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COURT ST STE 1200",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014440",
            "telephone_number": "929-239-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NY",
            "license": "260729",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "260729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.