Active NPI
Elias Jeremiah Moor, AU.D.
- Audiologist-Hearing Aid Fitter
- Lake Katrine, NY
National Provider Identifier
1912290644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 002709
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hartford Hearing Centers, Inc | Past | 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.
-
- Hearing Instrument Specialist
- New Hartford, NY
- NPI 1407495971
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.