Active NPI
Ethel Moran
- Case Manager/Care Coordinator
- Bronx, NY
National Provider Identifier
1376045690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 820 Saint Anns Ave
Bronx, NY 10456-7885 - Phone
- (718) 915-6443
- NPI assigned
- Mar 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
820 Saint Anns Ave
Bronx, NY 10456-7885
Mailing address
2751 Barker Ave
Bronx, NY 10467-7350
Other practice location 1
381 Rockaway Ave
Brooklyn, NY 11212-5635
Phone (718) 915-6443
Other practice location 2
1865 Amsterdam Ave
New York, NY 10031-1716
Phone (718) 915-6443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Evaluation Solution Inc | Current | Accepting new patients | |
| Community Services and Housing Inc. | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Bronx, NY
- NPI 1972223642
-
- Public Health or Welfare Agency
- Bronx, NY
- NPI 1083017891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1376045690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 BARKER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104677350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SAINT ANNS AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104567885",
"telephone_number": "718-915-6443"
}
],
"practiceLocations": [
{
"address_1": "381 Rockaway Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112125635",
"country_code": "US",
"telephone_number": "718-915-6443",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1865 Amsterdam Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100311716",
"country_code": "US",
"telephone_number": "718-915-6443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "ETHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.