Active NPI
Lee M. Moran, M.S., CCC-SLP
- Speech-Language Pathologist
- Corning, NY
National Provider Identifier
1134372295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012703
- Practice address
- 10887 Brown Rd
Corning, NY 14830-3759 - Phone
- (607) 542-8024
- NPI assigned
- Nov 2, 2008
- Last updated
- Nov 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 012703 | NY | Primary |
Addresses
Primary practice location
10887 Brown Rd
Corning, NY 14830-3759
Mailing address
10887 Brown Rd
Corning, NY 14830-3759
Phone (607) 962-1073
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012703 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225584000000",
"number": "1134372295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10887 BROWN RD",
"city": "CORNING",
"state": "NY",
"postal_code": "148303759",
"telephone_number": "607-962-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10887 BROWN RD",
"city": "CORNING",
"state": "NY",
"postal_code": "148303759",
"telephone_number": "607-542-8024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "LEE",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-02",
"last_updated": "2008-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "012703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.