Active NPI
Jacob Moise, M.D.
- Reproductive Endocrinology Physician
- Glenview, IL
National Provider Identifier
1477952026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 036062927
- Practice address
- 329 Bel Air Dr.
Glenview, IL 60025 - Phone
- (847) 998-9070
- NPI assigned
- Aug 20, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 036062927 | IL | Primary |
Addresses
Primary practice location
329 Bel Air Dr.
Glenview, IL 60025
Mailing address
329 Bel Air Dr.
Glenview, IL 60025
Phone (847) 998-9070
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036062927 | IL | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1477952026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 BEL AIR DR.",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "60025",
"telephone_number": "847-998-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 BEL AIR DR.",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "60025",
"telephone_number": "847-998-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOISE",
"first_name": "JACOB",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "IL",
"license": "036062927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.