Active NPI
Shaheda Nia Moore, NP
- Critical Care Medicine Nurse Practitioner
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- 432227
- Practice address
- 340 S Broadway
Yonkers, NY 10705-2049 - Phone
- (914) 968-5125
- Fax
- (914) 968-5123
- NPI assigned
- Apr 29, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 432227 | NY | Primary |
Addresses
Primary practice location
340 S Broadway
Yonkers, NY 10705-2049
Mailing address
746 Mamaroneck Ave Apt 1410
Mamaroneck, NY 10543-1990
Phone (917) 371-3334
Other practice location 1
174 Grand St
White Plains, NY 10601-4803
Phone (914) 328-6080
Other practice location 2
1 Bridge St
Ardsley, NY 10502-2136
Phone (914) 639-8787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10 Maple St
Port Washington, NY 11050-2905
200 Broadway
Brooklyn, NY 11211-6130
255 Executive Dr
210B
Plainview, NY 11803-1711
3438 Bell Blvd
Suite 301
Bayside, NY 11361-1739
44 Nassau Dr
Great Neck, NY 11021-1441
445 Park Ave
Brooklyn, NY 11205-2735
9 Meron Dr
Unit 14
Monroe, NY 10950-8436
Hospital & facility affiliations
- White Plains Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Care Medical Group, PLLC | Current | Accepting new patients | |
| Rd Medical Professional Services PC | Current | Accepting new patients | |
| Infinite Medical PC | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Nys Medical Associate PLLC | Current | Accepting new patients | |
| Doctors United, Inc | Past | Accepting new patients | |
| R.G. Medical, PC | Past | Accepting new patients | |
| Doral Pharmacy LLC | Past | Accepting new patients |
Locations
101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
250 Skillman St
Ste 202
Brooklyn, NY 11205
141 Dosoris Ln
Glen Cove, NY 11542
Phone (516) 676-1100
300 Community Dr
Plandome, NY 11030
140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
612 Corporate Way
Ste 1M
Vly Cottage, NY 10989
Phone (718) 732-3634
6111 Queens Blvd
Woodside, NY 11377
Phone (718) 205-0287
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Rego Park, NY
- NPI 1104268572
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- Internal Medicine Physician
- New York, NY
- NPI 1295263796
-
- Family Medicine Physician
- Staten Island, NY
- NPI 1811643166
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
-
- Special Hospital
- White Plains, NY
- NPI 1508979162
-
- Community/Retail Pharmacy
- Brooklyn, NY
- NPI 1558051482
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1720007891
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1669036323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 MAMARONECK AVE APT 1410",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105431990",
"telephone_number": "917-371-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107052049",
"telephone_number": "914-968-5125",
"fax_number": "914-968-5123"
}
],
"practiceLocations": [
{
"address_1": "174 Grand St",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106014803",
"country_code": "US",
"telephone_number": "914-328-6080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Bridge St",
"address_purpose": "LOCATION",
"city": "Ardsley",
"state": "NY",
"postal_code": "105022136",
"country_code": "US",
"telephone_number": "914-639-8787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "SHAHEDA",
"middle_name": "NIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "NY",
"license": "432227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.