Active NPI
Carolina Moreira, WHNP-BC
- Women's Health Nurse Practitioner
- Springfield, NJ
National Provider Identifier
1669219846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NJ15099000
- Practice address
- 955 S Springfield Ave # A103
Springfield, NJ 07081-3570 - Phone
- (973) 971-4600
- NPI assigned
- Jul 13, 2024
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 26NJ15099000 | NJ | Primary |
Addresses
Primary practice location
955 S Springfield Ave # A103
Springfield, NJ 07081-3570
Mailing address
23 Donna CT
Nutley, NJ 07110-3115
Phone (201) 621-3974
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15099000 | NJ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premium Health Inc | Past | Accepting new patients | |
| Rma of NJ | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Reproductive Endocrinology Physician
- Basking Ridge, NJ
- NPI 1992712558
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1609129402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1669219846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 DONNA CT",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071103115",
"telephone_number": "201-621-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 S SPRINGFIELD AVE # A103",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070813570",
"telephone_number": "973-971-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREIRA",
"first_name": "CAROLINA",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NJ15099000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.