Individual provider Active NPI

Maureen Daly Moore, M.D.

  • Surgery Physician
  • Gladwyne, PA
National Provider Identifier
1073956918
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA11070100 Issued in NJ
Practice address
1107 Robin Rd
Gladwyne, PA 19035-1007
Phone
(610) 527-6186
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA11070100 NJ Primary
Surgery Physician 208600000X 303373 NY

Addresses

Primary practice location

1107 Robin Rd
Gladwyne, PA 19035-1007

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

3 Cooper Plz Rm 411
Camden, NJ 08103-1438
Phone (856) 342-3157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200821002286 NY Practitioner - General Surgery 6305262254 Reassigns benefits to 1 organization
I20210908002192 NJ Practitioner - General Surgery 6305262254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.23 of 100Reported as group
Quality
77.64
Promoting interoperability
98
Improvement activities
40
Cost
68.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)25
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11070100NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Surgery CurrentSince Aug 1, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 1, 2020 Accepting new patients
Cooper Surgical Associates, PA Surgery CurrentSince Sep 1, 2021 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Sep 1, 2021 Accepting new patients

Locations

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

1 Cooper Plz
#A
Camden, NJ 08103
Phone (888) 499-8779

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

400 W Route 38
Fl 2
Moorestown, NJ 08057
Phone (856) 270-4002

6015 Main St
Voorhees, NJ 08043
Phone (848) 288-6935

50 E 69th St
New York, NY 10021
Phone (212) 570-4000

Interoperability endpoints

  • Direct secure messaging: mmoore115141@direct.cooperhealth.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1073956918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 ROBIN RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351007",
            "telephone_number": "610-527-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Cooper Plz Rm 411",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031438",
            "country_code": "US",
            "telephone_number": "856-342-3157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MAUREEN",
        "middle_name": "DALY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA11070100",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "303373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladwyne, PA

Sources for this page

Verify at the official NPI Registry.