Active NPI
Jovaughn Morant
- Peer Specialist
- Troy, NY
National Provider Identifier
1487536991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 8209-P
- Practice address
- 2435 6TH Ave
Troy, NY 12180-2227 - Phone
- (518) 274-5143
- Fax
- (518) 273-1350
- NPI assigned
- Jul 24, 2025
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 8209-P | NY | Primary |
Addresses
Primary practice location
2435 6TH Ave
Troy, NY 12180-2227
Mailing address
79 Glenridge Rd
Glenville, NY 12302-4528
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 |
|---|---|---|---|
| 8209-P | NY | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1487536991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 GLENRIDGE RD",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123024528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 6TH AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121802227",
"telephone_number": "518-274-5143",
"fax_number": "518-273-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORANT",
"first_name": "JOVAUGHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-24",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "8209-P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.