Active NPI
Maureen L Moore, D.C.
- Nutrition Chiropractor
- Yonkers, NY
National Provider Identifier
1174666846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 003146
- Practice address
- 675 McLean Ave
Yonkers, NY 10704-3855 - Phone
- (914) 964-5771
- Fax
- (914) 964-5773
- NPI assigned
- Feb 14, 2007
- Last updated
- Oct 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 003146 | NY | Primary |
Addresses
Primary practice location
675 McLean Ave
Yonkers, NY 10704-3855
Mailing address
46 Sunset TRL
Silver Beach Gardens
Bronx, NY 10465-3849
Phone (718) 792-1164
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003146 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sloane Stecker Physical Therapy PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Irvington, NY
- NPI 1083717870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1174666846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 SUNSET TRL",
"address_2": "SILVER BEACH GARDENS",
"city": "BRONX",
"state": "NY",
"postal_code": "104653849",
"telephone_number": "718-792-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 MCLEAN AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107043855",
"telephone_number": "914-964-5771",
"fax_number": "914-964-5773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MAUREEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "003146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.