Individual provider Active NPI

Terence Edward Moran, MD

  • Pediatrics Physician
  • Haverhill, MA
National Provider Identifier
1366433906
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24027 Issued in MA
Practice address
288 Groveland St
Unit C-3
Haverhill, MA 01830-6674
Phone
(978) 521-8108
Fax
(978) 521-8372
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21339 NH
Pediatrics Physician 208000000X 24027 MA Primary

Addresses

Primary practice location

288 Groveland St
Unit C-3
Haverhill, MA 01830-6674

Mailing address

288 Groveland St
Unit C-3
Haverhill, MA 01830-6674
Phone (978) 521-8108

Other practice location 1

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201211002679 MA Practitioner - Pediatric Medicine 3577975796 Reassigns benefits to 3 organizations
I20210429002147 NH Practitioner - Pediatric Medicine 3577975796 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24027MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Oct 1, 2023 Accepting new patients
Core Physicians, LLC Pediatrics CurrentSince May 1, 2021 Accepting new patients
Core Physicians LLC CurrentSince May 1, 2021 Accepting new patients
Massachusetts General Physicians Organization Inc Pediatrics CurrentSince Apr 1, 2021 Accepting new patients
Wentworth Douglass Physician Corporation Current Accepting new patients
Pratt Pediatric Associates Inc Pediatrics CurrentSince Sep 2, 2020 Accepting new patients
The General Hospital Corporation CurrentSince Apr 1, 2021 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Oct 1, 2023 Accepting new patients
Merrimack Valley Child & Adolescent Health Pediatrics Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

55 Fruit St
Boston, MA 02114

789 Central Ave
#2
Dover, NH 03820
Phone (603) 740-2503

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

5 Alumni Dr
Fl 2
Exeter, NH 03833
Phone (603) 580-7525

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

7 Holland Way
#1
Exeter, NH 03833

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

Interoperability endpoints

  • Direct secure messaging: moran.terence.mgh@direct.partners.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tmoran29255@tuftsmedicine.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1366433906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 GROVELAND ST",
            "address_2": "UNIT C-3",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306674",
            "telephone_number": "978-521-8108",
            "fax_number": "978-521-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 GROVELAND ST",
            "address_2": "UNIT C-3",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306674",
            "telephone_number": "978-521-8108",
            "fax_number": "978-521-8372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-740-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "TERENCE",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "21339",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "24027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.