Active NPI
Patricia Moran, NP
- Adult Health Nurse Practitioner
- Commack, NY
National Provider Identifier
1962543827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 303649
- Practice address
- 283 Commack Rd
Suite 200
Commack, NY 11725-6021 - Phone
- (631) 499-2226
- Fax
- (631) 499-1419
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 303649 | NY | Primary |
Addresses
Primary practice location
283 Commack Rd
Suite 200
Commack, NY 11725-6021
Mailing address
283 Commack Rd
Suite 200
Commack, NY 11725-6021
Phone (631) 499-2226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303649 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Hospital Association | Past | Accepting new patients | |
| Dix Hills Medical Association PC | Past | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Past | Accepting new patients | |
| St. Francis Hospital | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- West Islip, NY
- NPI 1124184544
-
- Internal Medicine Physician
- Commack, NY
- NPI 1780654848
-
- Nuclear Cardiology Physician
- Huntington, NY
- NPI 1225003221
-
- Cardiovascular Disease Physician
- West Islip, NY
- NPI 1528386810
-
- Medical Oncology Physician
- Stony Brook, NY
- NPI 1184679342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1962543827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 COMMACK RD",
"address_2": "SUITE 200",
"city": "COMMACK",
"state": "NY",
"postal_code": "117256021",
"telephone_number": "631-499-2226",
"fax_number": "631-499-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 COMMACK RD",
"address_2": "SUITE 200",
"city": "COMMACK",
"state": "NY",
"postal_code": "117256021",
"telephone_number": "631-499-2226",
"fax_number": "631-499-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "PATRICIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "303649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.