Active NPI
Erik Moore, PHD
- Clinical Neuropsychologist
- Staten Island, NY
National Provider Identifier
1386962355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 755 Narrows Rd N Apt 507
Staten Island, NY 10304-1533 - Phone
- (718) 966-5217
- Fax
- (718) 374-6121
- NPI assigned
- May 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
755 Narrows Rd N Apt 507
Staten Island, NY 10304-1533
Mailing address
755 Narrows Rd N Apt 507
Staten Island, NY 10304-1533
Phone (718) 966-5217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03081789 | Medicaid | NY |
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273795200000",
"number": "1386962355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 NARROWS RD N APT 507",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103041533",
"telephone_number": "718-966-5217",
"fax_number": "718-374-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 NARROWS RD N APT 507",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103041533",
"telephone_number": "718-966-5217",
"fax_number": "718-374-6121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ERIK",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-14",
"last_updated": "2010-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03081789",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.