Individual provider Active NPI

Moe Elhajoui, CRT

  • Pulmonary Diagnostics Certified Respiratory Therapist
  • St Petersburg, FL
National Provider Identifier
1164776977
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Certified Respiratory TherapistTaxonomy code 2278P1004X
Practice address
1100 77TH St N
St Petersburg, FL 33710-4411
Phone
(727) 512-7308
NPI assigned
Oct 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Function Technologist 225B00000X
Pulmonary Diagnostics Certified Respiratory Therapist 2278P1004X Primary
Pulmonary Rehabilitation Certified Respiratory Therapist 2278P1005X

Addresses

Primary practice location

1100 77TH St N
St Petersburg, FL 33710-4411

Mailing address

1100 77TH St N
St Petersburg, FL 33710-4411
Phone (727) 512-7308

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

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1164776977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 77TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104411",
            "telephone_number": "727-512-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 77TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104411",
            "telephone_number": "727-512-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAJOUI",
        "first_name": "MOE",
        "name_prefix": "Mr.",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "",
            "desc": "Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.