Active NPI
Cecily Alexandra Dubaj, NP
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9336228
- Practice address
- 75 Varick St
New York, NY 10013-1917 - Phone
- (855) 672-2755
- NPI assigned
- Aug 24, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5010575 | NC | |
| Family Nurse Practitioner | 363LF0000X | 9336228 | FL | Primary |
Addresses
Primary practice location
75 Varick St
New York, NY 10013-1917
Mailing address
75 Varick St
New York, NY 10013-1917
Other practice location 1
11925 Lakemist Cir
Temple Terrace, FL 33617-1786
Phone (813) 494-4584
Other practice location 2
190 Riverview St
Franklin, NC 28734
Phone (828) 349-6804
Other names 1
- Cecily Alexandra Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
- 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
- University of South Florida College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2350 Taft St
Gary, IN 46404-3349
Phone (877) 883-9430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010575 | NC | MD | Nurse Practitioner |
| 9336228 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuspine Institute LLC | Current | Accepting new patients | |
| Pioneer Medical Group, PL | Nurse Practitioner | Current | Accepting new patients |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Neuspine Institute LLC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777
1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
515 Chesapeake Dr
Tarpon Springs, FL 34689
Phone (727) 934-4629
2590 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 219-3269
38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608
2350 Taft St
Gary, IN 46404
Phone (219) 944-2677
Interoperability endpoints
- cecily.dubaj.1@14883.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
FL, IN
-
- Neurological Surgery Physician
- Wesley Chapel, FL
- NPI 1861913857
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710315775
Nurse Practitioner
-
- Geriatric Medicine (Internal Medicine) Physician
- Gary, IN
- NPI 1992584783
-
- Neurological Surgery Physician
- Brandon, FL
- NPI 1376172478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1699292292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 VARICK ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100131917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 VARICK ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100131917",
"telephone_number": "855-672-2755"
}
],
"practiceLocations": [
{
"address_1": "11925 Lakemist Cir",
"address_purpose": "LOCATION",
"city": "Temple Terrace",
"state": "FL",
"postal_code": "336171786",
"country_code": "US",
"telephone_number": "813-494-4584",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Riverview St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "NC",
"postal_code": "28734",
"country_code": "US",
"telephone_number": "828-349-6804",
"fax_number": "828-349-6808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBAJ",
"first_name": "CECILY",
"middle_name": "ALEXANDRA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5010575",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9336228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CECILY",
"last_name": "MOORE",
"middle_name": "ALEXANDRA",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.