Carlos Moreno MD and Assc PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60414 Issued in MA

Legal business name

CARLOS MORENO MD AND ASSC PC

Practice address

825 Washington St
Suite 300
Norwood, MA 02062-3441

Phone

(781) 769-0552

NPI assigned

Feb 12, 2007

Last updated

Jul 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Moreno, MDNPI 1144316902

Title

President Owner

Phone

(781) 769-0552

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Moreno, MD

  • Internal Medicine Physician
  • Norwood, MA
  • NPI 1144316902
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1699816520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020620575",
            "telephone_number": "781-769-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON ST",
            "address_2": "SUITE 300",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623441",
            "telephone_number": "781-769-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS MORENO MD AND ASSC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "781-769-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "60414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9774815",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caritas Norwood Hospital
• Caritas Norwood Hospital (Caritas Norwood EMS)
• Caritas Norwood Hospital
• Caritas Norwood Hospital-Psychiatry-Impatient
• Caritas Norwood Hostpital-Psychiatry-Outpatient
• Marie Carreras, DPT
• David F Carroll, D.C.
• Julia Caruso
• Stephane A a V Carvalho, MS
• Wendy Bosworth Case, M.S.W.

• Internal Medicine Physician in Norwood, MA
• Providers in Norwood, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.