Individual provider Active NPI

Elias Jeremiah Moor, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Lake Katrine, NY
National Provider Identifier
1912290644
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
002709 Issued in NY
Practice address
1996 Route 9W
Lake Katrine, NY 12449-5423
Phone
(845) 336-0108
Fax
(845) 336-0261
NPI assigned
May 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 002709 NY Primary

Addresses

Primary practice location

1996 Route 9W
Lake Katrine, NY 12449-5423

Mailing address

1996 Route 9W
Lake Katrine, NY 12449-5423
Phone (845) 336-0108

Other practice location 1

1245 Wilshire Blvd
Suite 603
Los Angeles, CA 90017-4810
Phone (213) 977-1215

Other practice location 2

1245 Wilshire Blvd
Suite 603
Los Angeles, CA 90017-4810
Phone (213) 977-1215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1996 Route 9W
Suite a
Lake Katrine, NY 12449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Hartford Hearing Centers, Inc PastSince Jan 5, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912290644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 ROUTE 9W",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495423",
            "telephone_number": "845-336-0108",
            "fax_number": "845-336-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 ROUTE 9W",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495423",
            "telephone_number": "845-336-0108",
            "fax_number": "845-336-0261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 Wilshire Blvd",
            "address_2": "Suite 603",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900174810",
            "country_code": "US",
            "telephone_number": "213-977-1215",
            "fax_number": "213-977-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 Wilshire Blvd",
            "address_2": "Suite 603",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900174810",
            "country_code": "US",
            "telephone_number": "213-977-1215",
            "fax_number": "213-977-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOR",
        "first_name": "ELIAS",
        "middle_name": "JEREMIAH",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "002709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Katrine, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.