Charles Alden Moore, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01370600 Issued in NJ

Practice address

707 N Main St
Glassboro, NJ 08028-1605

Phone

(856) 307-9700

Fax

(856) 307-0289

NPI assigned

Sep 14, 2010

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

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shore Orthopedics, Inc

  • Orthopaedic Surgery Physician
  • Easton, MD
  • NPI 1245694520
  Medicare reassignment NPD
• Shore Orthopedics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Easton, MD
  • NPI 1538515952
  NPD

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1265740161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 APPLETREE LN",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281605",
            "telephone_number": "856-307-9700",
            "fax_number": "856-307-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHARLES",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01370600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Meskin, MD
• Elaine Miller, LCSW
• Lawrence S Miller, MD
• Sara Jane Moffei, PT, DPT
• Sarah Elizabeth Mol
• Barbara Ann Mora
• Robert Morales
• Mary T Morda
• Lauren Morrison
• Michele Muff

• Physical Therapist in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.