Active NPI
Maureen Ann Moffett, CNS
- Neonatal Clinical Nurse Specialist
- Newark, DE
National Provider Identifier
1023548914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Clinical Nurse Specialist
- License
- L4-0000001
- Practice address
- 4755 Ogletown Stanton Road
Neonatal Intensive Care Unit
Newark, DE 19718 - Phone
- (302) 733-2400
- NPI assigned
- Jun 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Clinical Nurse Specialist | 364SN0000X | L4-0000001 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Road
Neonatal Intensive Care Unit
Newark, DE 19718
Mailing address
6235 Ardleigh St
Philadelphia, PA 19138-1522
Phone (215) 982-0435
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L1-0045988 | Other | DE | STATE OF DELAWARE BOARD OF NURSING |
| L4-0000001 | Other | DE | STATE OF DELAWARE BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497398400000",
"number": "1023548914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 ARDLEIGH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191381522",
"telephone_number": "215-982-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON ROAD",
"address_2": "NEONATAL INTENSIVE CARE UNIT",
"city": "NEWARK",
"state": "DE",
"postal_code": "19718",
"telephone_number": "302-733-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFETT",
"first_name": "MAUREEN",
"middle_name": "ANN",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2017-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "364SN0000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Neonatal",
"state": "DE",
"license": "L4-0000001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF DELAWARE BOARD OF NURSING",
"identifier": "L1-0045988",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF DELAWARE BOARD OF NURSING",
"identifier": "L4-0000001",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.