Individual provider Active NPI

Gemma B. Moore, RN, MHA, RAT-CT,LNHA

  • Administrator Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1023327038
Registry record updated Sep 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
436043 Issued in NY
Practice address
628 Osborn St
Brooklyn, NY 11212-5746
Phone
(646) 924-7554
NPI assigned
Sep 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 436043 NY Primary

Addresses

Primary practice location

628 Osborn St
Brooklyn, NY 11212-5746

Mailing address

628 Osborn St
Brooklyn, NY 11212-5746
Phone (646) 924-7554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
436043NYMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285459200000",
    "number": "1023327038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 OSBORN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125746",
            "telephone_number": "646-924-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 OSBORN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125746",
            "telephone_number": "646-924-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "GEMMA",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "RN, MHA, RAT-CT,LNHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-26",
        "last_updated": "2010-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "436043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2010; 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.