Individual provider Active NPI

Abbey Theresa Moynahan, CRNP

  • Family Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1629774765
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026816 Issued in PA
Practice address
685 River Ave
Lakewood, NJ 08701-5288
Phone
(732) 486-7373
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP026816 PA Primary

Addresses

Primary practice location

685 River Ave
Lakewood, NJ 08701-5288

Mailing address

412 Chancellor Ave
Elkins Park, PA 19027-1843
Phone (267) 372-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310000015 PA Practitioner - Nurse Practitioner 2062885189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercer Bucks Medical Associates PCGroup PAC ID 9133024508, 44 clinicians

Practice addresses (Care Compare)

1411 Woodbourne Rd
Levittown, PA 19057-1540
Phone (215) 943-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP026816PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Bucks Medical Associates, P.C. CurrentSince Jan 11, 2025 Accepting new patients
Liberty Lutheran Housing Development Corporation Past Accepting new patients

Locations (25 of 35)

6400 Hulmeville Rd
Bensalem, PA 19020
Phone (215) 752-1940

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

2507 Chestnut St
Chester, PA 19013
Phone (610) 872-5373

501 Thomas Jones Way
Exton, PA 19341
Phone (484) 733-3700

3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400

2000 Old West Chester Pike
Havertown, PA 19083
Phone (610) 536-2100

2085 Lieberman Dr
Huntingdon Valley, PA 19006
Phone (215) 214-3815

262 Tollgate Rd
Langhorne, PA 19047
Phone (215) 968-4650

300 E Winchester Ave
Langhorne, PA 19047
Phone (215) 275-3361

350 Manor Ave
Langhorne, PA 19047
Phone (215) 757-7667

1208 Langhorne Newtown Rd
Langhorne, PA 19047
Phone (267) 560-1100

1411 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-8900

2629 Trenton Rd
Levittown, PA 19056
Phone (215) 860-3520

820 Durham Rd
Newtown, PA 18940
Phone (215) 589-7181

1700 Pine St
Norristown, PA 19401
Phone (610) 237-7100

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2 Franklintown Blvd
Philadelphia, PA 19103
Phone (215) 563-1800

2990 Holme Ave
Philadelphia, PA 19136
Phone (215) 335-2100

6129 Palmetto St
Philadelphia, PA 19111
Phone (215) 722-8555

10400 Roosevelt Blvd
Philadelphia, PA 19116
Phone (215) 698-5600

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

8301 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 624-6038

550 W College Ave
Pleasant Gap, PA 16823
Phone (814) 359-3421

251 Stenton Ave
Plymouth Mtng, PA 19462
Phone (215) 987-3663

815 Chester Pike
Prospect Park, PA 19076
Phone (610) 586-6262

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1629774765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CHANCELLOR AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271843",
            "telephone_number": "267-372-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015288",
            "telephone_number": "732-486-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYNAHAN",
        "first_name": "ABBEY",
        "middle_name": "THERESA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.