Active NPI
Lauren Marie Moody, PA-C
- Medical Physician Assistant
- Langhorne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA064842
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00659800 | NJ | MD | Physician Assistant |
| MA064842 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedic and Sports Medicine Associates, LTD | Current | Accepting new patients | |
| Orthonj LLC | Current | Accepting new patients | |
| Premier Orthopaedic and Sports Medicine Associates LTD | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Orthonj LLC | Current | 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
- lauren.moody.1@22724.direct.athenahealth.com
- 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.
-
- Orthopaedic Surgery Physician
- Newtown Square, PA
- NPI 1215987243
-
- Orthopaedic Surgery Physician
- Somerset, NJ
- NPI 1720557432
-
dba THMA MG Surgical Associates Holme
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
- Durable Medical Equipment & Medical Supplies
- Exton, PA
- NPI 1497485080
-
dba Mercy Management of Southeastern Pennsylvania
- Psychiatry Physician
- Darby, PA
- NPI 1528584810
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
- Durable Medical Equipment & Medical Supplies
- Galloway, NJ
- NPI 1487448312
-
dba St. Mary Orthopaedics
- Orthopaedic Surgery Physician
- Langhorne, PA
- NPI 1700339629
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penn Medicine Good Shepherd Rehabilitation
- Long Term Care Hospital
- Philadelphia, PA
- NPI 1427232818
Long-term care hospital
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1780686931
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.