Individual provider Active NPI

David Francis Moore, M.D., PH.D., FAAN

  • Neurology Physician
  • Brick, NJ
National Provider Identifier
1477742906
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA11690100 Issued in NJ
Practice address
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone
(732) 840-2200
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0054151 MD
Neurology Physician 2084N0400X 64627 MN
Neurology Physician 2084N0400X ME160879 FL
Neurology Physician 2084N0400X C152617 CA
Vascular Neurology Physician 2084V0102X P2307 TX
Vascular Neurology Physician 2084V0102X D0054151 MD
Neurology Physician 2084N0400X 25MA11690100 NJ Primary
Vascular Neurology Physician 2084V0102X ME160879 FL

Addresses

Primary practice location

425 Jack Martin Blvd
Brick, NJ 08724-7732

Mailing address

331 Newman Springs Rd
BLDG 2, Ste 220
Red Bank, NJ 07701-5688

Other practice location 1

3160 Folsom Blvd Ste 2100
Sacramento, CA 95816-5266
Phone (916) 734-3588

Other identifiers 1

IdentifierTypeStateIssuer
302137001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, ND, MT, CA, KS, FL, NJ, VA8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20141024000555 DC Practitioner - Neurology 3577747138
I20161104001623 ND Practitioner - Neurology 3577747138 Reassigns benefits to 3 organizations
I20170727001412 MT Practitioner - Neurology 3577747138 Reassigns benefits to 1 organization
I20200501001283 CA Practitioner - Neurology 3577747138 Reassigns benefits to 1 organization
I20240404000614 KS Practitioner - Neurology 3577747138 Reassigns benefits to 1 organization
I20240422001188 FL Practitioner - Neurology 3577747138 Reassigns benefits to 1 organization
I20241220001213 NJ Practitioner - Neurology 3577747138 Reassigns benefits to 1 organization
I20260223001980 VA Practitioner - Neurology 3577747138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuranimus P CGroup PAC ID 8527437318, 4 clinicians
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

135 N Jackson Ave
Suite 202
San Jose, CA 95116-1917
Phone (805) 608-3600

13700 St Francis Blvd
Suite 302
Midlothian, VA 23114-3222
Phone (804) 281-8303

1510 N 28TH St
Richmond, VA 23223-5311

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 202-1500

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Mt Ascutney Hospital Hospital, Windsor, VT, CCN 471302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64627MNMDFamily Medicine Physician
C152617CAMDNeurology Physician
D0054151MDMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Mar 27, 2026 Accepting new patients
Neuranimus P C Neurology CurrentSince Mar 1, 2026 Accepting new patients
Sanford Medical Center Fargo CurrentSince Oct 24, 2016 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 28, 2024 Accepting new patients
Shawnee Mission Medical Center Inc CurrentSince Mar 8, 2024 Accepting new patients
Neurology Medicine Services of FL, LLC Neurology CurrentSince Mar 4, 2024 Accepting new patients
Sentient Physicians, P.C. Neurology CurrentSince Aug 1, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 28, 2024 Accepting new patients
Remote Neuromonitoring Physicians ,PC Neurology CurrentSince Jul 8, 2023 Accepting new patients
Billings Clinic CurrentSince Mar 17, 2025 Accepting new patients
Billings Clinic CurrentSince Mar 17, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Neurology CurrentSince Mar 27, 2026 Accepting new patients
Sanford Medical Center Fargo CurrentSince Oct 24, 2016 Accepting new patients
Pavel Klein Neurology PastSince Jul 15, 2015 Accepting new patients
Billings Clinic Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

135 N Jackson Ave
Ste 202
San Jose, CA 95116
Phone (408) 508-6218

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

1000 Mar Walt Dr
#H
Fort Walton Beach, FL 32547

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

700 1st Ave S
Fargo, ND 58103
Phone (701) 234-4023

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3 Maryland Farms
Ste 200
Brentwood, TN 37027
Phone (615) 346-8733

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7347/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dmoore189032@santaclaravalley.direct-ci.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1477742906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD",
            "address_2": "BLDG 2, STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-840-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Folsom Blvd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165266",
            "country_code": "US",
            "telephone_number": "916-734-3588",
            "fax_number": "916-451-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DAVID",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D., FAAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0054151",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "64627",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME160879",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C152617",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "P2307",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MD",
            "license": "D0054151",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA11690100",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "ME160879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302137001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.