Active NPI
Susan Cecilia Moreno, RPA-C
- Physician Assistant
- Bethesda, MD
National Provider Identifier
1023346236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA031908
- Practice address
- 8600 Old Georgetown Rd
Bethesda, MD 20814-1422 - Phone
- (301) 896-7500
- NPI assigned
- Nov 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110003201 | VA | |
| Physician Assistant | 363A00000X | C06789 | MD | |
| Physician Assistant | 363A00000X | PA031908 | DC | Primary |
Addresses
Primary practice location
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Mailing address
9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (410) 933-5412
Other practice location 1
9001 Digges Rd Ste 107&108
Manassas, VA 20110-4421
Phone (703) 330-3113
Other practice location 2
9001 Digges Rd Ste 107&108
Manassas, VA 20110-4421
Phone (703) 330-3113
Other names 1
- Susan Marty
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA031908 | DC | MD | Physician Assistant |
| 0110003201 | VA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753574400000",
"number": "1023346236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR # 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-933-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 OLD GEORGETOWN RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141422",
"telephone_number": "301-896-7500"
}
],
"practiceLocations": [
{
"address_1": "9001 Digges Rd Ste 107&108",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104421",
"country_code": "US",
"telephone_number": "703-330-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9001 Digges Rd Ste 107&108",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104421",
"country_code": "US",
"telephone_number": "703-330-3113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "SUSAN",
"middle_name": "CECILIA",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-28",
"last_updated": "2025-07-27",
"certification_date": "2025-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003201",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C06789",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA031908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "MARTY",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.