Active NPI
Deann Moore, M.D.
- Pediatrics Physician
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA09878400
- Practice address
- 571 W Mount Pleasant Ave
Livingston, NJ 07039-1607 - Phone
- (973) 992-4767
- NPI assigned
- Apr 24, 2013
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA09878400 | NJ | Primary |
Addresses
Primary practice location
571 W Mount Pleasant Ave
Livingston, NJ 07039-1607
Mailing address
390 Memorial Pkwy
Bloomfield, NJ 07003-4263
Phone (202) 714-5900
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09878400 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Pediatrics | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| PM Pediatrics PC | Pediatrics | Past | Accepting new patients |
| Denville Pediatrics Associates PA | Pediatrics | Past | Accepting new patients |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients | |
| PM Pediatrics of Bayside PLLC | Past | Accepting new patients | |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients | |
| BCD Health Partners | Pediatrics | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
2532 Grand Concourse
Bronx, NY 10458
Phone (718) 960-1500
Interoperability endpoints
- dea@bcd.pcc-direct.com
Organizations & group practices 9
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.
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Pediatrics Physician
- Woodland Park, NJ
- NPI 1225317704
-
- Pediatrics Physician
- Denville, NJ
- NPI 1386774081
-
dba New Jersey Family Practice Center
- Family Medicine Physician
- Newark, NJ
- NPI 1467462168
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- Urgent Care Clinic/Center
- Nanuet, NY
- NPI 1861823197
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
-
dba PM Pediatrics of Mamaroneck
- Urgent Care Clinic/Center
- Syosset, NY
- NPI 1730212390
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1982048690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 MEMORIAL PKWY",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070034263",
"telephone_number": "202-714-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 W MOUNT PLEASANT AVE",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070391607",
"telephone_number": "973-992-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DEANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA09878400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.