Jennifer Lyn Mora, SPED, M.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

479959101 Issued in NY

Practice address

624 E Broadway Apt 1
Long Beach, NY 11561-4729

Phone

(516) 456-2233

NPI assigned

Jun 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1104189752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E BROADWAY APT 1",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614729",
            "telephone_number": "516-456-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E BROADWAY APT 1",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614729",
            "telephone_number": "516-456-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "SPED, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "479959101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Molesphini, MS
• Michelle Monaghan, PA
• Alicia Mondeau
• Elena Catherine Montemurro, LMSW
• Kathleen Moore
• Diane Morgan, N.P.
• Melissa Moriarty, MA,OTR/L
• Eileen Tonry Morris, P.T.,MS
• Elisabetta Mortillaro
• Katharine Ann Moser, OTR

• Specialist in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.