Individual provider Active NPI

Nikolaos Moraros

  • Registered Nurse
  • Hamburg, NY
National Provider Identifier
1154705341
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
691559-1 Issued in NY
Practice address
4591 Southwestern Blvd Apt T1
Hamburg, NY 14075-1983
Phone
(716) 335-1553
NPI assigned
Jul 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 691559-1 NY Primary

Addresses

Primary practice location

4591 Southwestern Blvd Apt T1
Hamburg, NY 14075-1983

Mailing address

4591 Southwestern Blvd Apt T1
Hamburg, NY 14075-1983
Phone (716) 335-1553

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

LicenseStateTypeSpecialty
691559-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1154705341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 SOUTHWESTERN BLVD APT T1",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751983",
            "telephone_number": "716-335-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 SOUTHWESTERN BLVD APT T1",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751983",
            "telephone_number": "716-335-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAROS",
        "first_name": "NIKOLAOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "691559-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.