Andrea C Moore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00285200 Issued in NJ

Practice address

755 Memorial Pkwy Ste 201
Phillipsburg, NJ 08865-2748

Phone

(908) 847-8884

Fax

(833) 204-9604

NPI assigned

Jul 12, 2012

Last updated

Nov 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea C Duryea Former name

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

97.13 of 100Reported as apm

Quality

82.27

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

97.13 of 100Reported as apm

Quality

82.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.moore@slpg.direct-sluhn.org

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.

• St. Luke's Warren Physician Group, PC

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  • NPI 1467725184
  Medicare reassignment
• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment
• St. Luke's Warren Physician Group, PC

  dba St. Luke's Twin Rivers Warren Gastroenterology

  • Gastroenterology Physician
  • Phillipsburg, NJ
  • NPI 1083215594
  NPD
• St. Luke's Warren Physician Group, PC

  dba St. Luke's Warren Ophthalmology

  • Ophthalmology Physician
  • Phillipsburg, NJ
  • NPI 1568347201
  NPD
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Physician Group Inc

  dba St. Luke's Primary Care Chalfont

  • Family Medicine Physician
  • Chalfont, PA
  • NPI 1265326656
  NPD
• Warren Health Care Alliance, PC

  • Internal Medicine Physician
  • Phillipsburg, NJ
  • NPI 1568408490
  NPD (past)
• St. Luke's Physician Group, Inc.

  dba St. Luke's Orthopedic Care

  • Orthopaedic Surgery Physician
  • Fountain Hill, PA
  • NPI 1144249251
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1225393564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 201",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "908-847-8884",
            "fax_number": "833-204-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 201",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "908-847-8884",
            "fax_number": "833-204-9604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 S 21st St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180423851",
            "country_code": "US",
            "telephone_number": "908-763-8144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANDREA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00285200",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA05528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DURYEA",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Albert Mobilio
• Vipul Mody, M.D.
• Cynthia Montano
• Matthew Montelione, CERTIFIED PEER
• Jaime Lynn Moody, PHARMD
• Lizette Martina Morales-Ortiz, MS, CCC-SLP
• Elyse Morel, MD
• Anthony Middle Morelli Jr.
• Tiffany Beth Moss, MSW, LSW
• Charles Johannes Most, PSY.D.

• Physician Assistant in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.