Amanda Mary Moran, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030030-01 Issued in NY

Practice address

17 Wharton PL
Melville, NY 11747-4261

Phone

(631) 708-6927

NPI assigned

Oct 16, 2020

Last updated

Nov 27, 2023By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1861090375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WHARTON PL",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474261",
            "telephone_number": "631-708-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WHARTON PL",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474261",
            "telephone_number": "631-708-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "AMANDA",
        "middle_name": "MARY",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030030-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE SPEECH-LANGUAGE PATHOLOGIST",
            "identifier": "030030-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoran@nasboces.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Nassau BOCES",
            "address_1": "2850 N Jerusalem Rd",
            "city": "Wantagh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117931125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clare Marie Moore
• Melanie Nicol Moquete
• Ana Morales
• Camille Morales
• Lissette Morales
• Jennifer Jay Moran, MS, RD, CDN
• Melissa Rachel Mordecai
• Susan Morelli
• Sabrina Ann Moret
• Jenna Morgan

• Speech-Language Pathologist in Melville, NY
• Providers in Melville, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.