Individual provider Active NPI

Jose Tomas Mora, M.D., M.P.A.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1003904541
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
226434 Issued in MA
Practice address
506 6TH St
Brooklyn, NY 11215-3609
Phone
(617) 710-1933
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 226434 MA
Diagnostic Radiology Physician 2085R0202X 226434 MA Primary

Addresses

Primary practice location

506 6TH St
Brooklyn, NY 11215-3609

Mailing address

506 6TH St
Brooklyn, NY 11215-3609
Phone (617) 710-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20100809000936 MA Practitioner - Diagnostic Radiology 0547393712 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Harvard Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Radiology-Cra LLCGroup PAC ID 8426287269, 60 clinicians
Monadnock Community HospitalGroup PAC ID 7416933031, 67 clinicians
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians
MW Radiology-Cra LLCGroup PAC ID 6406270040, 40 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 934-8237

10 Research PL
North Chelmsford, MA 01863-2456
Phone (978) 937-6240

1574 Main St
Tewksbury, MA 01876-2067
Phone (978) 937-6240

198 Littleton Rd
Westford, MA 01886-3408
Phone (978) 937-6240

199 Boston Rd
North Billerica, MA 01862-2328
Phone (978) 937-6240

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511

22 Spring Grove Rd
Andover, MA 01810-4809
Phone (603) 924-7191

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6240

354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321

585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000

9 Loon Hill Rd
Dracut, MA 01826-4365
Phone (978) 937-6240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226434MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athol Memorial Hospital Incorporated CurrentSince Apr 27, 2025 Accepting new patients
MW Radiology-Cra LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Sep 1, 2013 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Sep 1, 2013 Accepting new patients
Yorkrad LLC Diagnostic Radiology CurrentSince Mar 21, 2026 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Heywood Medical Group Inc. Internal Medicine CurrentSince May 2, 2025 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
TMC Radiology Cra LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Heywood Affiliated Medical Group Inc. CurrentSince May 2, 2025 Accepting new patients
Shields Imaging at Heywood Healthcare LLC CurrentSince May 1, 2026 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Sep 1, 2015 Accepting new patients
LGH Medical Group, Inc. CurrentSince Nov 8, 2024 Accepting new patients
Mass General Brigham Community Physicians Inc. Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Jan 1, 2014 Accepting new patients
Henry Heywood Memorial Hospital Past Accepting new patients
LGH Professional Services LLC Internal Medicine Past Accepting new patients
Brooklyn Radiology Services PC Diagnostic Radiology PastSince Jun 1, 2011 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

242 Green St
Ste 205
Gardner, MA 01440

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

354 Merrimack St
Ste 1
Lawrence, MA 01843

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • Direct secure messaging: jmora28807@tuftsmedicine.direct-ci.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1003904541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "617-710-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "617-710-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "JOSE",
        "middle_name": "TOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "226434",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "226434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.