Active NPI
Laura Moore, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1851745723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 301678
- Practice address
- 11 Park PL
New York, NY 10007-2801 - Phone
- (212) 226-7666
- NPI assigned
- Apr 18, 2016
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 301678 | NY | Primary |
Addresses
Primary practice location
11 Park PL
New York, NY 10007-2801
Mailing address
11 Park PL
New York, NY 10007-2801
Other practice location 1
355 Bard Ave
Room 314
Staten Island, NY 10310-1664
Phone (718) 818-4636
Other names 1
- Laura Waite
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301678 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Tribeca Pediatrics, PLLC | Past | Accepting new patients | |
| Tribeca Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- lauramoore@mai.allscriptsdirect.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Pediatric Adolescent Medicine Physician
- New York, NY
- NPI 1588635171
-
- Pediatrics Physician
- Jersey City, NJ
- NPI 1356000160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1851745723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PARK PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 PARK PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072801",
"telephone_number": "212-226-7666"
}
],
"practiceLocations": [
{
"address_1": "355 Bard Ave",
"address_2": "Room 314",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103101664",
"country_code": "US",
"telephone_number": "718-818-4636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "301678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "WAITE",
"credential": "LAURA WAITE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.