Marvin A Moreno

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

336795-01 Issued in NY

Practice address

15 Flock LN
Levittown, NY 11756-4114

Phone

(516) 458-6677

NPI assigned

Dec 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Marvin A Morales Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1760020549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FLOCK LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564114",
            "telephone_number": "516-458-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FLOCK LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564114",
            "telephone_number": "516-458-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "MARVIN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "336795-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARVIN",
            "last_name": "MORALES",
            "middle_name": "A",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Ann Moore, D.M.D.
• Adalberto Morales Jr., D.C.
• Delia Morales, LPN
• Matthew Morand, PSY.D.
• Steven Lloyd Morand, PHD LMHC
• Sherry Morris, DO
• Frances Moskowitz, LPN
• Heather A Muccio, PA
• Marie Pauline Mues, LMHC
• Maureen Mullarkey

• Licensed Practical Nurse in Levittown, NY
• Providers in Levittown, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.