Individual provider Active NPI

Marnell Paul Moore, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • East Orange, NJ
National Provider Identifier
1821149451
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00289000 Issued in NJ
Practice address
310 Central Ave Ste 301
East Orange, NJ 07018-2838
Phone
(973) 337-2893
Fax
(201) 228-1689
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00289000 NJ Primary
Podiatrist 213E00000X 25MD00289000 NJ

Addresses

Primary practice location

310 Central Ave Ste 301
East Orange, NJ 07018-2838

Mailing address

310 Central Ave Ste 301
East Orange, NJ 07018-2838
Phone (973) 337-2893

Other identifiers 1

IdentifierTypeStateIssuer
0919349MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000096 NJ Practitioner - Podiatry 1658462866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Happy Feet Podiatry LLCGroup PAC ID 1759472954, 3 clinicians

Practice addresses (Care Compare)

310 Central Ave
Suite 301
East Orange, NJ 07018-2838
Phone (973) 337-2893

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of skin lesions1-10
Removal of nail tissue220
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006196NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Feet Podiatry LLC Foot & Ankle Surgery CurrentSince Jun 11, 2007 Accepting new patients
Happy Feet Podiatry LLC Podiatrist CurrentSince Jun 4, 2007 Accepting new patients

Locations

310 Central Ave
Ste 303
East Orange, NJ 07018
Phone (973) 337-2893

310 Central Ave
Ste 301
East Orange, NJ 07018
Phone (201) 943-7977

414 Eagle Rock Ave
Ste 310
West Orange, NJ 07052
Phone (973) 337-2893

Interoperability endpoints

  • Direct secure messaging: mmoore244329@epicdirect.rwjbh.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1821149451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVE STE 301",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182838",
            "telephone_number": "973-337-2893",
            "fax_number": "201-228-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTRAL AVE STE 301",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182838",
            "telephone_number": "973-337-2893",
            "fax_number": "201-228-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARNELL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00289000",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00289000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0919349",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.