Individual provider Active NPI

Lauren Marie Moody, PA-C

  • Medical Physician Assistant
  • Langhorne, PA
National Provider Identifier
1801504477
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA064842 Issued in PA
Practice address
1203 Langhorne Newtown Rd Ste 335
Langhorne, PA 19047-1236
Phone
(215) 741-2707
NPI assigned
Nov 11, 2022
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00659800 NJ
Medical Physician Assistant 363AM0700X MA064842 PA Primary

Addresses

Primary practice location

1203 Langhorne Newtown Rd Ste 335
Langhorne, PA 19047-1236

Mailing address

PO Box 34990
Belfast, ME 04915-0627
Phone (610) 359-5672

Other practice location 1

325 Princeton Ave
Princeton, NJ 08540-1617
Phone (609) 924-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230209000138 NJ Practitioner - Physician Assistant 2466824917 Reassigns benefits to 1 organization
I20231002003065 PA Practitioner - Physician Assistant 2466824917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Jefferson Medical College of Thomas Jefferson University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00659800NJMDPhysician Assistant
MA064842PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD CurrentSince Nov 26, 2024 Accepting new patients
Orthonj LLC CurrentSince Dec 2, 2022 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD CurrentSince Nov 26, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Sep 5, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Sep 5, 2023 Accepting new patients
Orthonj LLC CurrentSince Dec 2, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

325 Princeton Ave
Princeton, NJ 08540
Phone (609) 924-5044

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

1203 Langhorne Newtown Rd
Ste 120
Langhorne, PA 19047
Phone (267) 364-9100

1203 Langhorne Newtown Rd
Ste 335
Langhorne, PA 19047
Phone (215) 741-2707

4595 New Falls Rd
Unit A
Levittown, PA 19056
Phone (267) 587-3700

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

178 W Street Rd
Trevose, PA 19053
Phone (215) 322-5042

Interoperability endpoints

  • Direct secure messaging: lauren.moody.1@22724.direct.athenahealth.com
  • Direct secure messaging: lmoody2924363@direct.trinity-health.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1801504477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34990",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150627",
            "telephone_number": "610-359-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD STE 335",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471236",
            "telephone_number": "215-741-2707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Princeton Ave",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085401617",
            "country_code": "US",
            "telephone_number": "609-924-8131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00659800",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.