Organization Active NPI

Moriarty-Edgewood School District

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1346558376
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
X-07138 Issued in NM
Legal business name
MORIARTY-EDGEWOOD SCHOOL DISTRICT
Practice address
200 Center Dr.
Albuquerque, NM 87035
Phone
(505) 832-5817
NPI assigned
Sep 24, 2010
Last updated
Sep 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Mr. Jamaal Austin Moore, LMSWNPI 1376853119
Title
School Socail Worker
Phone
(757) 450-9804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X X-07138 NM Primary

Addresses

Primary practice location

200 Center Dr.
Albuquerque, NM 87035

Mailing address

4501 Morris St NE
Apt 2117
Albuquerque, NM 87111-3790
Phone (757) 450-9804

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1346558376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MORRIS ST NE",
            "address_2": "APT 2117",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113790",
            "telephone_number": "757-450-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER DR.",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87035",
            "telephone_number": "505-832-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORIARTY-EDGEWOOD SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMAAL",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "SCHOOL SOCAIL WORKER",
        "authorized_official_telephone_number": "757-450-9804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "X-07138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.