Kendra Moore, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00398900 Issued in NJ

Practice address

350 Boulevard
Passaic, NJ 07055-2840

Phone

(973) 365-4300

NPI assigned

Jun 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

Enrolled in NJ, NY2 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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dimerhealth Medical PracticeGroup PAC ID 5991162257, 29 clinicians

Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.47 of 100Reported as group

Quality

87.79

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.15 of 100Reported as group

Quality

71.59

Promoting interoperability

100

Improvement activities

40

Cost

76.65

Merit-based Incentive Payment System (MIPS)

Final score

95.32 of 100Reported as group

Quality

82.73

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kendra.moore.1@28989.direct.athenahealth.com

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.

• Dimerhealth Medical Practice

  • Emergency Medicine Physician
  • Mendham, NJ
  • NPI 1285338483

  NY

  Medicare reassignment Care Compare group NPD
• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment Care Compare group NPD
• Doctor'S Office of West Caldwell LLC

  • Urgent Care Clinic/Center
  • West Caldwell, NJ
  • NPI 1144524786
  Medicare reassignment
• Emergency Associates of St Marys LLC

  • Emergency Medicine Physician
  • Passaic, NJ
  • NPI 1477063329
  Medicare reassignment
• Emergency Physicians of Saint Clares LLC

  • Emergency Medicine Physician
  • Denville, NJ
  • NPI 1366517856
  Medicare reassignment
• Dimer Health Services Inc

  • Emergency Medicine Physician
  • Mendham, NJ
  • NPI 1306540620
  NPD
• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD (past)

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466294400000",
    "number": "1346690583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 VOSE AVE",
            "address_2": "APARTMENT 215",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792007",
            "telephone_number": "973-508-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KENDRA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-19",
        "last_updated": "2016-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00398900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe Counseling Center LLC
• Monroe RX Pharmacy LLC
• Vanessa D Montanez, ANP
• Roberta Monteiro, MSW, LSW
• Steffi Jane Montenegro, RN, APN
• Morales Family Chiropractic PA
• Cathy Morales, MS ED., MSW
• Elvis Morales, D.C.
• Gehan Liale Morel
• Rosanne Moreno, PSY.D.

• Medical Physician Assistant in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2016; 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.