Maximillian Eugene Moore

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

430 Niagara St
Buffalo, NY 14201-1886

Phone

(716) 961-7400

Fax

(716) 342-3569

NPI assigned

Mar 6, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1548116239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011886",
            "telephone_number": "716-961-7400",
            "fax_number": "716-342-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011886",
            "telephone_number": "716-961-7400",
            "fax_number": "716-342-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MAXIMILLIAN",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Moore, RPN
• Lauren Moore, MD
• Mariama Moore, FAMILY PEER ADVOCATE
• Mary Beth Moore, AGNP-C
• Masani R. N. Moore, L.P.N.
• Richard Justin Moore, PHARMD
• Samuel Hamilton Moore, MD
• Stephanie Renee Moore, L.M.S.W.
• Trianna Moore
• Adam Moosa

• Peer Specialist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.