Tracey J. Moreno, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA04597200 Issued in NJ

Legal business name

TRACEY J. MORENO, MD, LLC

Practice address

601 Ewing St Ste C13
Princeton, NJ 08540-2758

Phone

(609) 921-1424

Fax

(609) 924-5759

NPI assigned

Feb 17, 2010

Last updated

Jan 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tracey Judith Moreno, M.D.NPI 1811916752

Title

Manager

Phone

(609) 921-1424

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey J Moreno, MD

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1811916752
  Authorized official Same address or phone

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1972825057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST STE C13",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402758",
            "telephone_number": "609-921-1424",
            "fax_number": "609-924-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST STE C13",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402758",
            "telephone_number": "609-921-1424",
            "fax_number": "609-924-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY J. MORENO, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "609-921-1424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA04597200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Frank McCrory Torrance, PH.D.
• Miriam Torres, RN
• Total Eye Care Centers, PC
• Chelsea Totaro
• Samantha Townsend, M.S. CCC-SLP
• Mark A Trager, MD
• Krishna N Trambadia, DPM
• Adria Trapani-Barnacz, APN, LPC, LCADC
• Michael Jamison Tremblay, MS, ATC
• Lauren A Tresch, OT

• Internal Medicine Physician in Princeton, NJ
• Providers in Princeton, 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 Jan 7, 2011; 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.