Active NPI
Mary Louise Julia Mora
- Lactation Consultant (Registered Nurse)
- Sunnyside, NY
National Provider Identifier
1194629295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 776495-01
- Practice address
- 3909 47TH Ave Apt A3
Sunnyside, NY 11104-4436 - Phone
- (718) 551-7582
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- 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 |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 776495-01 | NY | Primary |
Addresses
Primary practice location
3909 47TH Ave Apt A3
Sunnyside, NY 11104-4436
Mailing address
3909 47TH Ave Apt A3
Sunnyside, NY 11104-4436
Phone (718) 551-7582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1194629295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 47TH AVE APT A3",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111044436",
"telephone_number": "718-551-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 47TH AVE APT A3",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111044436",
"telephone_number": "718-551-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "MARY LOUISE",
"middle_name": "JULIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NY",
"license": "776495-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.