NPIMap

Organization Active NPI

Moorings Park Healthy Living

  • Geriatric Medicine (Internal Medicine) Physician
  • Naples, FL
National Provider Identifier
1760883276
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
MOORINGS PARK HEALTHY LIVING
Practice address
132 Moorings Park Dr
Naples, FL 34105-2122
Phone
(239) 430-6387
Fax
(239) 430-6365
NPI assigned
Sep 16, 2014
Organization subpart
Yes
Parent organization
MOORINGS PARK HEALTHY LIVING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Mary Morton
Title
Corporate Compliance Officer
Phone
(239) 643-9168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X FL Primary

Addresses

Primary practice location

132 Moorings Park Dr
Naples, FL 34105-2122

Mailing address

132 Moorings Park Dr
Naples, FL 34105-2122
Phone (239) 430-6387

National Provider Directory

National Provider Directory
Tax ID family
Moorings Park Healthy Living2 organizations share this tax ID, including this one
Part of
Moorings Park Healthy Living

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1760883276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MOORINGS PARK DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341052122",
            "telephone_number": "239-430-6387",
            "fax_number": "239-430-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MOORINGS PARK DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341052122",
            "telephone_number": "239-430-6387",
            "fax_number": "239-430-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORINGS PARK HEALTHY LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOORINGS PARK HEALTHY LIVING, INC.",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "239-643-9168"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.