Active NPI
Marnell Paul Moore, D.P.M.
- Foot & Ankle Surgery Podiatrist
- East Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00289000
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0919349 | Medicaid | NJ |
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
Enrollment records 1
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
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
- St Joseph'S University Medical Center Inc
- Cooperman Barnabas Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 48 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 220 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006196 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Feet Podiatry LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Happy Feet Podiatry LLC | Podiatrist | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- East Orange, NJ
- NPI 1013031053
-
- Podiatrist
- East Orange, NJ
- NPI 1609105626
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.