Active NPI
Denise Moore, LPN
- Licensed Practical Nurse
- New York, NY
National Provider Identifier
1083944508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 084987-1
- Practice address
- 344 W 36TH St
Suite 404
New York, NY 10018-7598 - Phone
- (212) 560-6757
- Fax
- (212) 244-2034
- NPI assigned
- Jan 6, 2010
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 084987-1 | NY | Primary |
Addresses
Primary practice location
344 W 36TH St
Suite 404
New York, NY 10018-7598
Mailing address
263 E 42ND St
Suite B
Brooklyn, NY 11203-4019
Phone (347) 232-4729
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084987-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1083944508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 E 42ND ST",
"address_2": "SUITE B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112034019",
"telephone_number": "347-232-4729",
"fax_number": "718-856-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 W 36TH ST",
"address_2": "SUITE 404",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187598",
"telephone_number": "212-560-6757",
"fax_number": "212-244-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DENISE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "084987-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.