Moorings Park Healthy Living, Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MOORINGS PARK HEALTHY LIVING, INC

Practice address

120 Moorings Park Dr
Naples, FL 34105-2122

Phone

(239) 430-6387

Fax

(239) 430-6365

NPI assigned

Dec 20, 2011

Organization subpart

No

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

Authorized official

Name

Mary Morton

Title

Chief Compliance Officer

Phone

(239) 643-9168

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Moorings Park Healthy Living

  • Geriatric Medicine (Internal Medicine) Physician
  • Naples, FL
  • NPI 1760883276
  NPPES parent name
• Moorings Park Healthy Living, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Naples, FL
  • NPI 1083022982
  NPPES parent name

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1114296209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 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": "120 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": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "239-643-9168"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FX839A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Roberto Morales Gonzalez

• 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 Sep 9, 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.