Wayne A Moccia

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME0031860 Issued in FL

Practice address

8055 Overseas Hwy
Marathon, FL 33050-3228

Phone

(305) 743-6299

Fax

(305) 743-2921

NPI assigned

Apr 21, 2006

Last updated

Apr 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1205892031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522345",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330522345",
            "telephone_number": "305-743-6299",
            "fax_number": "305-743-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503228",
            "telephone_number": "305-743-6299",
            "fax_number": "305-743-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCCIA",
        "first_name": "WAYNE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0031860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069558100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300084563",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44167",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Monroe County School District
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• Cynthia K. Mooneyham, P.T.

• Diagnostic Radiology Physician in Marathon, FL
• Providers in Marathon, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.