Javier A Moreno, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036052532 Issued in IL

Practice address

800 E Northwest Hwy
Suite 620
Palatine, IL 60074-6512

Phone

(847) 991-2222

Fax

(847) 991-2045

NPI assigned

Nov 10, 2009

Last updated

May 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
  • NPI 1932961240
  NPD
• Gajda Health Plus Network Inc

  • Physical Therapist
  • Palatine, IL
  • NPI 1205053857
  NPD (past)

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1437486537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY",
            "address_2": "SUITE 620",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746512",
            "telephone_number": "847-991-2222",
            "fax_number": "847-991-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY",
            "address_2": "SUITE 620",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746512",
            "telephone_number": "847-991-2222",
            "fax_number": "847-991-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "JAVIER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-10",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036052532",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036052532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052532",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Moloney, PT
• Mercedes Moncion, MD
• Roxanne Angelie Monti, MS,OTR/L
• Ann Moon
• Theresa Ann Moran, LCSW
• Jennifer Morgan
• Brendan Moriarty
• Justine M Morrison, NTP
• McKenna Marlene Moss, MOT, OTR/L
• Ann Dourlet Mott, PSYD

• Internal Medicine Physician in Palatine, IL
• Providers in Palatine, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.