Justine Moran, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

006650 Issued in NY

Practice address

41 Castle Point Rd
Wappingers Falls, NY 12590-7004

Phone

(845) 831-2000

Fax

(845) 838-5262

NPI assigned

Jul 12, 2012

Last updated

Mar 5, 2019By 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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hollowbrook Foot Specialist, PCGroup PAC ID 6002823028, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hollowbrook Foot Specialist, PC

  • Foot & Ankle Surgery Podiatrist
  • Wappingers Falls, NY
  • NPI 1346269511

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• David J. Schlam, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wappingers Falls, NY
  • NPI 1992983985
  NPD (past)
• Montrose Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Wappingers Falls, NY
  • NPI 1225086325
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1912262205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CASTLE POINT RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125907004",
            "telephone_number": "845-831-2000",
            "fax_number": "845-838-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CASTLE POINT RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125907004",
            "telephone_number": "845-831-2000",
            "fax_number": "845-838-5262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Mineola Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013920",
            "country_code": "US",
            "telephone_number": "315-569-3199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "006650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912262205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montrose Vamc
• Joyce Montross
• Kayla Morales, LCSW
• Maydeline Morales, M.S
• Laurie Moran-Marsh, NP-P
• Magdalena Joanna Moranda, PTA
• Kerrianne Morgan
• Caryl Morris
• Paula Morro-Wrafter, P.T.
• Steven Eric Moskowitz, DPM

• Primary Podiatric Medicine Podiatrist in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.