Active NPI
Ronald Moroch
- Pharmacist
- Stony Brook, NY
National Provider Identifier
1386812659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24430
- Practice address
- 2162 Nesconset Hwy
Stony Brook, NY 11790-3503 - Phone
- (631) 444-0968
- NPI assigned
- Feb 20, 2008
- Last updated
- Feb 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24430 | NY | Primary |
Addresses
Primary practice location
2162 Nesconset Hwy
Stony Brook, NY 11790-3503
Mailing address
45 Tiffany Way
Nesconset, NY 11767-1054
Phone (631) 265-7322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24430 | Other | NY | RPH STATE LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24430 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldbaum Inc | Past | Accepting new patients | |
| Waldbaum Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1386812659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 TIFFANY WAY",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117671054",
"telephone_number": "631-265-7322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2162 NESCONSET HWY",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903503",
"telephone_number": "631-444-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOROCH",
"first_name": "RONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "24430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH STATE LICENSE NUMBER",
"identifier": "24430",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.