Angelo Dewitt Moore, FNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

138235 Issued in NC

Practice address

1075 Stephenson Ave
Patterson Army Health Clinic
Fort Monmouth, NJ 07703-5000

Phone

(732) 532-0182

Fax

(732) 532-0194

NPI assigned

Oct 19, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1013099068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MILLENNIUM LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094337",
            "telephone_number": "718-630-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 STEPHENSON AVE",
            "address_2": "PATTERSON ARMY HEALTH CLINIC",
            "city": "FORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077035000",
            "telephone_number": "732-532-0182",
            "fax_number": "732-532-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANGELO",
        "middle_name": "DEWITT",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "648115",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "138235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Teresa Foley, LCSW
• CHI M Hang, RPH
• Keller Army Community Hospital (Usadc Ft Monmouth)
• Keller Army Community Hospital (Patterson Ahc)
• Helena Longin, MD
• William Joseph Moran Jr.
• National Vision, Inc.
• Kylee Verlee Plummer
• Asha Vijendran Rao, MD
• Elli Reyes-Grote, RPH

• Registered Nurse in Fort Monmouth, NJ
• Providers in Fort Monmouth, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.