Individual provider Active NPI

Robert Arthur Mooney, PH.D.

  • Diplomate Laboratory Management Specialist/Technologist
  • Rochester, NY
National Provider Identifier
1609896372
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diplomate Laboratory Management Specialist/TechnologistTaxonomy code 246QL0901X
License
MOONR1 Issued in NY
Practice address
University of Rochester Medical Ctr
Box 626, 601 Elmwood Ave.
Rochester, NY 14642-0001
Phone
(585) 275-7811
Fax
(585) 756-4468
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chemistry Pathology Specialist/Technologist 246QC1000X MOONR1 NY
Diplomate Laboratory Management Specialist/Technologist 246QL0901X MOONR1 NY Primary

Addresses

Primary practice location

University of Rochester Medical Ctr
Box 626, 601 Elmwood Ave.
Rochester, NY 14642-0001

Mailing address

14 Royale Dr
Fairport, NY 14450-8419
Phone (585) 223-0002

Other identifiers 1

IdentifierTypeStateIssuer
MOONR1OtherNYNYSDOH C OF Q CODE

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 Philosophy

State licenses

LicenseStateTypeSpecialty
MOONR1NYMDDiplomate Laboratory Management Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609896372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ROYALE DR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508419",
            "telephone_number": "585-223-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF ROCHESTER MEDICAL CTR",
            "address_2": "BOX 626, 601 ELMWOOD AVE.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7811",
            "fax_number": "585-756-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "ROBERT",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QC1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Chemistry",
            "state": "NY",
            "license": "MOONR1",
            "primary": false
        },
        {
            "code": "246QL0901X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management, Diplomate",
            "state": "NY",
            "license": "MOONR1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSDOH C OF Q CODE",
            "identifier": "MOONR1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.