Individual provider Active NPI

Kira Moore, D.O.

  • Obstetrics & Gynecology Physician
  • Somerset, NJ
National Provider Identifier
1689017576
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB10570200 Issued in NJ
Practice address
Saint Peters Physician Associates
59 Veronica Ave, Suite 202
Somerset, NJ 08873
Phone
(732) 828-3300
Fax
(732) 937-5739
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB10570200 NJ Primary

Addresses

Primary practice location

Saint Peters Physician Associates
59 Veronica Ave, Suite 202
Somerset, NJ 08873

Mailing address

Saint Peters Physician Associates
59 Veronica Ave, Suite 202
Somserset, NJ 08873
Phone (732) 828-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325002493 NJ Practitioner - Obstetrics/Gynecology 8123397239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Peter'S Healthcare System Physician AssociatesGroup PAC ID 9537337258, 44 clinicians

Practice addresses (Care Compare)

59 Veronica Ave
Suite 202
Somerset, NJ 08873-3579
Phone (732) 828-3300

Hospital & facility affiliations

  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB10570200NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S University Hospital CurrentSince Aug 16, 2021 Accepting new patients
Saint Peter'S University Hospital CurrentSince Aug 16, 2021 Accepting new patients
DHP of Princeton, PA Obstetrics & Gynecology CurrentSince Jul 25, 2020 Accepting new patients
Saint Peter'S Healthcare System Physician Associates CurrentSince Aug 16, 2021 Accepting new patients

Locations

2 Research Way
Ste 307
Monroe Twp, NJ 08831
Phone (609) 409-4500

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000

240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

59 Veronica Ave
Ste 202
Somerset, NJ 08873
Phone (732) 828-3300

Interoperability endpoints

  • Direct secure messaging: kira.moore.1@8568.direct.athenahealth.com
  • Direct secure messaging: kira.moore.2@8568.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1689017576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAINT PETERS PHYSICIAN ASSOCIATES",
            "address_2": "59 VERONICA AVE, SUITE 202",
            "city": "SOMSERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-828-3300",
            "fax_number": "732-937-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT PETERS PHYSICIAN ASSOCIATES",
            "address_2": "59 VERONICA AVE, SUITE 202",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-828-3300",
            "fax_number": "732-937-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB10570200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.