Juliana Moore

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028198-1 Issued in NY

Practice address

23 Westfield CMNS Apt a
Rochester, NY 14625-2916

Phone

(719) 930-7312

NPI assigned

Apr 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Azam Baig,M.D.

  dba South River Pediatrics

  • Primary Care Clinic/Center
  • Edgewater, MD
  • NPI 1124123716
  NPD (past)

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1922533116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WESTFIELD CMNS",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252916",
            "telephone_number": "719-930-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WESTFIELD CMNS APT A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252916",
            "telephone_number": "719-930-7312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Ravenel School Rd",
            "address_2": "Apt A.",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781259",
            "country_code": "US",
            "telephone_number": "719-930-7312 x07312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028198-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Moore, PH.D.
• Jessica Nixon Moore, PA-C
• Jillian G Moore, M.D.
• Joseph P Moore, RN
• Jozal Moore, MD
• Kathleen Moore
• Lillie Moore, PHARMD STUDENT
• Louise Tilney Moore, RN
• Malcolm Moore
• Maura T Moore, MD

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, 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 Jan 2, 2019; 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.