Ania C Moreno, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02646500 Issued in NJ

Practice address

5526 Bergenline Ave Ste 2
West New York, NJ 07093-4670

Phone

(201) 590-9500

Fax

(201) 430-8207

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1245683820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291720",
            "telephone_number": "973-484-0979",
            "fax_number": "973-484-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5526 BERGENLINE AVE STE 2",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070934670",
            "telephone_number": "201-590-9500",
            "fax_number": "201-430-8207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NJ",
            "postal_code": "070291720",
            "country_code": "US",
            "telephone_number": "973-484-0979",
            "fax_number": "973-484-9608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ANIA",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02646500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight Randolph Montfort, RPH.
• Cynthia Montilla, LMT
• Harris Ira Moore, D.C.
• Indira Morales, SLP
• Brayan Morejon Vidal
• Fernando Moreno, DPT
• Morganstein Eye Associates LLC
• Richard Levi Morganstein, O. D.
• Yessica M Moronta, OT
• Roberto Muiato, MD

• Dentist in West New York, NJ
• Providers in West New York, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.