Susan Moore

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUSAN MOORE

Practice address

14 Heather Valley Rd
Holland, PA 18966-2630

Phone

(732) 539-4921

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Moore, MA

Title

Fitness Consultant

Phone

(732) 539-4921

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1609245893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HEATHER VALLEY RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662630",
            "telephone_number": "732-539-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HEATHER VALLEY RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662630",
            "telephone_number": "732-539-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "FITNESS CONSULTANT",
        "authorized_official_telephone_number": "732-539-4921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Holland, PA
• Providers in Holland, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.