Organization Active NPI

JJ Moreira MD PC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Mineola, NY
National Provider Identifier
1063608990
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
188071 Issued in NY
Legal business name
JJ MOREIRA MD PC
Practice address
319 Willis Ave
Mineola, NY 11501
Phone
(917) 273-4092
NPI assigned
Sep 25, 2007
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Joseph John Moreira, MDNPI 1316055999
Title
Owner
Phone
(917) 273-4092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 188071 NY Primary

Addresses

Primary practice location

319 Willis Ave
Mineola, NY 11501

Mailing address

319 Willis Ave FL 2
Mineola, NY 11501-1510
Phone (917) 273-4092

Other identifiers 2

IdentifierTypeStateIssuer
53785OtherCTCT LICENSE
01527733MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180509002483 CT Part B Supplier - Clinic/Group Practice 4981968484 Receives reassigned benefits from 1 practitioner
Practice locations: Danbury, CT; Norwalk, CT; Ridgefield, CT
O20180814001622 NY Part B Supplier - Clinic/Group Practice 4981968484 Receives reassigned benefits from 1 practitioner
Practice locations: Mineola, NY
O20190726000009 NC Part B Supplier - Clinic/Group Practice 4981968484 Receives reassigned benefits from 1 practitioner
Practice locations: Morganton, NC

National Provider Directory

National Provider Directory

Locations

319 Willis Ave
Fl 2
Mineola, NY 11501
Phone (516) 637-9139

319 Willis Ave
Ste 2C
Mineola, NY 11501

153 W 11th St
Fl 4
New York, NY 10011
Phone (212) 414-1410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1063608990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 WILLIS AVE FL 2",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011510",
            "telephone_number": "917-273-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "917-273-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ MOREIRA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "MOREIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-273-4092",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "188071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "53785",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01527733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.