Active NPI
John Oscar Moren II, CPNP
- Pediatrics Physician
- Acton, MA
National Provider Identifier
1952072639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- RN2272434
- Practice address
- 321 Main St
Acton, MA 01720-3718 - Phone
- (978) 635-8700
- NPI assigned
- Sep 23, 2021
- Last updated
- Sep 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | RN2272434 | MA | Primary |
Addresses
Primary practice location
321 Main St
Acton, MA 01720-3718
Mailing address
321 Main St
Acton, MA 01720-3718
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmoren@actonmedical.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal Pediatrics PLLC | Single Specialty | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1952072639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 MAIN ST",
"city": "ACTON",
"state": "MA",
"postal_code": "017203718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MAIN ST",
"city": "ACTON",
"state": "MA",
"postal_code": "017203718",
"telephone_number": "978-635-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREN",
"first_name": "JOHN",
"middle_name": "OSCAR",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "CPNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MA",
"license": "RN2272434",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmoren@actonmedical.com",
"affiliation": "N",
"endpointDescription": "business emaila ddress",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "321 Main St",
"city": "Acton",
"state": "MA",
"country_code": "US",
"postal_code": "017203718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Acton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.