Active NPI
Lucinda M. Moyer, PA-C
- Physician Assistant
- Willow Grove, PA
National Provider Identifier
1851399430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA050935
- Practice address
- 2400 Maryland Rd
Willow Grove, PA 19090-1700 - Phone
- (215) 830-8700
- Fax
- (215) 830-8715
- NPI assigned
- Jul 8, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA050935 | PA | Primary |
Addresses
Primary practice location
2400 Maryland Rd
Willow Grove, PA 19090-1700
Mailing address
2400 Maryland Rd
Willow Grove, PA 19090-1700
Phone (215) 830-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1851399430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MARYLAND RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901700",
"telephone_number": "215-830-8700",
"fax_number": "215-830-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MARYLAND RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901700",
"telephone_number": "215-830-8700",
"fax_number": "215-830-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "LUCINDA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA050935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.