Active NPI
John Moore
- Family Medicine Physician
- Wilmington, DE
National Provider Identifier
1659367530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C20003536
- Practice address
- 1100 S Broom St
Wilmington, DE 19805-4585 - Phone
- (302) 656-5416
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C20003536 | DE | Primary |
Addresses
Primary practice location
1100 S Broom St
Wilmington, DE 19805-4585
Mailing address
60 Militia Hill Dr
Chesterbrook, PA 19087-5846
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C20003536 | DE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659367530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MILITIA HILL DR",
"city": "CHESTERBROOK",
"state": "PA",
"postal_code": "190875846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S BROOM ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198054585",
"telephone_number": "302-656-5416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JOHN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C20003536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.