Justin Moy, DNP, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R239415 Issued in MD

Practice address

5900 Waterloo Rd Ste 200
Columbia, MD 21045-2641

Phone

(410) 740-2900

Fax

(410) 740-2955

NPI assigned

Jul 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maryland Primary Care Physicians, LLCGroup PAC ID 8729981832, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Maryland Primary Care Physicians, LLC

  • Multi-Specialty Clinic/Center
  • Annapolis, MD
  • NPI 1083667067
  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Forest Hill, MD
  • NPI 1528352747
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Columbia, MD
  • NPI 1558680447
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Glen Burnie, MD
  • NPI 1578501789
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Towson, MD
  • NPI 1902843451
  Care Compare affiliation

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1295563161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 BUCKINGHAM BLVD STE 220",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210763210",
            "telephone_number": "410-729-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 WATERLOO RD STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452641",
            "telephone_number": "410-740-2900",
            "fax_number": "410-740-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R239415",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R239415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain View Wellness and Consulting LLC
• Lisa Moussa, RN, BSN
• Lesa Aaliyah Mouzon
• Terrye Ann Marie Mowatt, M.D.
• Stephen Gerard Moxey, MPT, OCS, CFMT
• Lenice Carol Moynihan, LGP9776
• MPB Group
• MPB Group Inc
• MPB Group Inc
• MPB Group Inc

• Primary Care Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.