Moorings Park Healthy Living, Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MOORINGS PARK HEALTHY LIVING, INC

Practice address

132 Moorings Park Dr
Naples, FL 34105-2122

Phone

(239) 430-6387

Fax

(239) 430-6365

NPI assigned

Jul 24, 2014

Organization subpart

Yes

Parent organization

MOORINGS PARK HEALTHY LIVING, INCAs reported in NPPES

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

Authorized official

Name

Timothy S Buist

Title

Cfo

Phone

(239) 261-1616

Specialties & licenses 1

Addresses

Tax ID family

Moorings Park Healthy Living2 organizations share this tax ID, including this one

Part of

Moorings Park Healthy Living

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moorings Park Healthy Living

  • Geriatric Medicine (Internal Medicine) Physician
  • Naples, FL
  • NPI 1760883276
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Moorings Park Healthy Living, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Naples, FL
  • NPI 1114296209
  NPPES parent name

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1083022982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MOORINGS PARK DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341052122",
            "telephone_number": "239-430-6387",
            "fax_number": "239-430-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MOORINGS PARK DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341052122",
            "telephone_number": "239-430-6387",
            "fax_number": "239-430-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORINGS PARK HEALTHY LIVING, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOORINGS PARK HEALTHY LIVING, INC",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "BUIST",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "239-261-1616"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Moorefield, DMD
• Mooresville PPM LLC
• Moorings Park Community Health
• Moorings Park Community Health, Inc.
• Moorings Park Healthy Living
• Moorings Park Healthy Living, Inc
• Prathima Moorthy, MD
• Bijan Nik Moradi, MD
• Beatriz Morales Fernandez
• Ernesto Morales Gonzalez, DMD

• Geriatric Medicine (Internal Medicine) Physician in Naples, FL
• Providers in Naples, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.