Evelyne Moreau

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

814498-01 Issued in NY

Practice address

34 Hewes St
Port Jefferson Station, NY 11776-3917

Phone

(516) 589-3787

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1548805286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 AMERICA AVE",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117044032",
            "telephone_number": "516-589-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HEWES ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763917",
            "telephone_number": "516-589-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "EVELYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "814498-01",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "335357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah A Montoya, M.A., CCC-SLP
• Kerry Brigid Moore, M.D.
• Wanda Morales Losito, M.A./SLP
• Shaina Marie Morales
• Linda Lee Moran, LPN
• Noami Morey, PA
• Jessica Morgan, LMSW
• Robert Mormando, D.O.
• Jeanne Marie Morris-Foley, NPP CS CASAC
• Juleesa Jasmine Mosley, LPN

• Registered Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.