Active NPI
Jamie Rachel Moore, NP
- Adult Health Nurse Practitioner
- Huntington Station, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F309740
- Practice address
- 180 E Pulaski Rd
Huntington Station, NY 11746-1915 - Phone
- (631) 425-2121
- NPI assigned
- May 28, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 650434 | NY | |
| Anesthesiology Physician | 207L00000X | 309740 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F309740 | NY | Primary |
Addresses
Primary practice location
180 E Pulaski Rd
Huntington Station, NY 11746-1915
Mailing address
18 Whitson Rd
Huntington Station, NY 11746-2647
Phone (631) 525-6487
Other practice location 1
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-1310
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmoore502401@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
1530 Front St
East Meadow, NY 11554-2265
Phone (516) 324-7500
180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 650434 | NY | MD | Registered Nurse |
| 309740 | NY | MD | Psychiatry Physician |
| F309740 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Physician Associates, PLLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Anesthesiology | Current | Accepting new patients |
Locations
180 Pulaski Rd
Huntington Station, NY 11746
Phone (631) 425-2121
70 N Country Rd
Ste 203
Prt Jefferson, NY 11777
Phone (631) 744-3611
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jmoore502401@nyumc.direct-ci.com
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Anesthesiology, NY
-
- Surgery Physician
- Port Jefferson, NY
- NPI 1871906941
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1801419528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 WHITSON RD",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117462647",
"telephone_number": "631-525-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E PULASKI RD",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117461915",
"telephone_number": "631-425-2121"
}
],
"practiceLocations": [
{
"address_1": "101 Nicolls Rd",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117940001",
"country_code": "US",
"telephone_number": "631-444-1310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "JAMIE",
"middle_name": "RACHEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "650434",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "309740",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F309740",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmoore502401@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "180 E Pulaski Rd",
"city": "Huntington Station",
"state": "NY",
"country_code": "US",
"postal_code": "117461915",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.