Isabel Leticia Mora, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA11503300 Issued in NJ

Practice address

613 Park Ave
East Orange, NJ 07017-1905

Phone

(973) 672-2455

NPI assigned

Apr 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4

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.

• Salerno Medical Associates, LLC

  • Internal Medicine Physician
  • East Orange, NJ
  • NPI 1184766107
  Medicare reassignment Care Compare group NPD
• Metropolitan Medical Group LLC

  • Internal Medicine Physician
  • East Orange, NJ
  • NPI 1700442415
  Medicare reassignment NPD
• Senior Healthcare Outreach Program

  • Geriatric Medicine (Internal Medicine) Physician
  • East Orange, NJ
  • NPI 1588707954
  Medicare reassignment NPD
• North Ward Medical Arts LLC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1538790563
  NPD (past)

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1972167682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW 64TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330231237",
            "telephone_number": "786-436-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171905",
            "telephone_number": "973-672-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 SW 64th Ave",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330231237",
            "country_code": "US",
            "telephone_number": "786-436-7423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "ISABEL",
        "middle_name": "LETICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-28",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11503300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricely Monteagudo Pena
• Henry Daniel Montilla, M.D.
• Marnell Paul Moore, D.P.M.
• Michael M Moore, LCADC, MSW
• Shawnequa Moore
• Don Moraud, LCSW
• Donna Marie Morelli, CRNA
• Madeleine Morin
• Christopher Morrell, M.D.
• Eboni Morris, BCPA

• Internal Medicine Physician in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.
• 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.

Verify at the official NPI Registry.