Moriah Rene Freeman, DNP, PPCNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382785 Issued in NY

Practice address

170 Brown PL FL 4
Bronx, NY 10454-4140

Phone

(917) 485-7140

Fax

(718) 742-1874

NPI assigned

Aug 28, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851818025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BROWN PL FL 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544140",
            "telephone_number": "917-485-7140",
            "fax_number": "718-742-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BROWN PL FL 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544140",
            "telephone_number": "917-485-7140",
            "fax_number": "718-742-1874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Amsterdam Ave Ste 8E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100251737",
            "country_code": "US",
            "telephone_number": "212-222-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MORIAH",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DNP, PPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "728885",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janina Maria Freeman, RN BSN
• Jordan Freeman, DMD
• Lee Freeman Jr., PHARMD, MBA
• Leonard Freeman, MD
• Loretta A Freeman, RN
• Keith R Freer, B.O.C.O.
• Ashley N Freeze
• Gill L Frei, MD
• Aubrey Lowell Freiberg, D.O.
• Stanley L Freiberg I

• Pediatric Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.