Vijay J Moradia, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME62606 Issued in FL

Practice address

4606 Clyde Morris
#1L
Port Orange, FL 32129

Phone

(386) 756-9009

Fax

(386) 756-3006

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831292200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 CLYDE MORRIS",
            "address_2": "#1L",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32129",
            "telephone_number": "386-756-9009",
            "fax_number": "386-756-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 CLYDE MORRIS",
            "address_2": "#1L",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32129",
            "telephone_number": "386-756-9009",
            "fax_number": "386-756-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADIA",
        "first_name": "VIJAY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME62606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Chiropractic, PLLC
• Angela Leigh Moore, D.C.
• Cynthia Moore
• Katherine Rose Moore, PT, DPT
• Sidney Celine Moore, PHYSICIAN ASSISTANT
• Carla Cantinho Morales, LMHC
• Courtney Moreno
• Matthew Morgan
• Jamie L Morris Newcomb, DPT
• Troy E Morris

• Plastic Surgery Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.