Coastal Carolina Neonatology, PLLC

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

COASTAL CAROLINA NEONATOLOGY, PLLC

Practice address

2131 S 17TH St
Wilmington, NC 28401-7407

Phone

(910) 772-9202

Fax

(910) 772-9452

NPI assigned

Mar 30, 2009

Last updated

Oct 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fernando R Moya, MDNPI 1922005214

Title

Incorporator

Phone

(910) 772-9202

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fernando Rodrigo Moya, MD

  • Neonatal-Perinatal Medicine Physician
  • Wilmington, NC
  • NPI 1922005214
  Authorized official Same address or phone

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1144462631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-772-9202",
            "fax_number": "910-772-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-772-9202",
            "fax_number": "910-772-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA NEONATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "910-772-9202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Carolina Eye Clinic PA
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• Coastal Carolina Foot & Ankle Associates PA
• Coastal Carolina Heart LLC (Wilmington Heart Center)
• Coastal Carolina Heart, LLC (Wilmington Heart Center)
• Coastal Carolina Pathology, PA
• Coastal Carolina Pathology, PA
• Coastal Carolina Radiation Oncology, PLLC
• Coastal Carolina Sedation Associates, LLC
• Coastal Childrens Services PLLC

• Neonatal-Perinatal Medicine Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Neonatal-Perinatal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.