NPIMap

Individual provider Active NPI

Emily Jeong Moore, M.S.

  • Physician Assistant
  • Pottstown, PA
National Provider Identifier
1649413527
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058628 Issued in PA
Practice address
20 N Sunnybrook Rd
Pottstown, PA 19464-2946
Phone
(610) 323-5550
Fax
(610) 327-4651
NPI assigned
Apr 8, 2009
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058628 PA Primary

Addresses

Primary practice location

20 N Sunnybrook Rd
Pottstown, PA 19464-2946

Mailing address

20 N Sunnybrook Rd
Pottstown, PA 19464-2946
Phone (610) 323-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425003070 PA Practitioner - Physician Assistant 7214214436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

20 N Sunnybrook Rd
Academic Urology Pottstown
Pottstown, PA 19464-2946
Phone (610) 323-5550

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

211 S Gulph Rd
Suite 200 the Prostate Center
King of Prussia, PA 19406-3101
Phone (610) 579-3577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
67.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC CurrentSince Oct 1, 2017 Accepting new patients
Alliance Physician Services, PC CurrentSince Oct 1, 2017 Accepting new patients
Alliance Physician Services, PC Past Accepting new patients

Locations

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

824 Main St
Ste 301
Phoenixville, PA 19460
Phone (215) 935-9010

20 N Sunnybrook Rd
Pottstown, PA 19464
Phone (610) 323-5550

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Organizations & group practices 4

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1649413527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N SUNNYBROOK RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194642946",
            "telephone_number": "610-323-5550",
            "fax_number": "610-327-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N SUNNYBROOK RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194642946",
            "telephone_number": "610-323-5550",
            "fax_number": "610-327-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "EMILY",
        "middle_name": "JEONG",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.