Jenette Mora, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

371101 Issued in NY

Practice address

Daytop #316 Beach 65TH
Far Rockaway, NY 11692

Phone

(718) 474-3800

Fax

(718) 318-6372

NPI assigned

Feb 20, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Daytop Village, Inc

  • Substance Abuse Rehabilitation Facility
  • Far Rockaway, NY
  • NPI 1154442879
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942345657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 12 OCEAN PROMENADE",
            "address_2": "#5N",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-318-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DAYTOP #316 BEACH 65TH",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11692",
            "telephone_number": "718-474-3800",
            "fax_number": "718-318-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "JENETTE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "371101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Montaque
• Juliana Michele Montes
• Judith Monvil
• Margaret Kathleen Mooney, MD
• Nia Moore, M.S. ED/SPECIAL ED
• Brigette Morales, D.D.S.
• Edbert Morales, M.D.
• Toni-Anne Morel, R.N.
• Jean-Harry Morency, COTA
• Jenny-Lee H Morency, LPN

• Registered Nurse in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.