Active NPIIndividual providerSole proprietor

Mr. Angelo D Moore, FNP

Registered Nurse in Fort Monmouth, New Jersey

NPI Number1013099068
Practice location
1075 Stephenson Ave, Patterson Army Health Clinic, Fort Monmouth, NJ 07703-5000
Fax
732-532-0194
Last updated
September 11, 2025

Angelo Dewitt Moore is a Registered Nurse based in Fort Monmouth, NJ. Angelo Dewitt Moore practices in Fort Monmouth, NJ and has the professional credentials of FNP. The NPI Number for Angelo Dewitt Moore is 1013099068 and holds a License No. 138235 (NC). The current practice location address for Angelo Dewitt Moore is 1075 Stephenson Ave, Patterson Army Health Clinic, Fort Monmouth, NJ 07703-5000 and can be reached out via phone at 732-532-0182 and via fax at 732-532-0194.

Provider Profile Details

NPI Number
1013099068
Provider Name
Angelo Dewitt Moore
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1075 Stephenson Ave, Patterson Army Health Clinic, Fort Monmouth, NJ 07703-5000
Phone Number
732-532-0182
Fax Number
732-532-0194
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 19, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1075 Stephenson Ave
Patterson Army Health Clinic
Fort Monmouth, NJ 07703-5000
Zip
07703-5000
Phone Number
732-532-0182
Fax Number
732-532-0194
Fort Monmouth, NJ 07703Get directions →

Provider Business Mailing Address Details

Address
21 Millennium Loop
Staten Island, NY 10309-4337
City
Staten Island
State
NY
Zip
10309-4337
Phone Number
718-630-4186

License Information

License Number (1)
138235
License State (1)
NC
Taxonomy (1)
Registered Nurse · 163W00000X · Primary
License Number (2)
648115
License State (2)
TX
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Angelo D Moore, FNP?

The NPI number of Mr. Angelo D Moore, FNP is 1013099068. It was assigned on October 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Angelo D Moore, FNP?

Mr. Angelo D Moore, FNP is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NC under license number 138235.

Where does Mr. Angelo D Moore, FNP practice?

The practice location is 1075 Stephenson Ave, Patterson Army Health Clinic, Fort Monmouth, NJ 07703-5000. The office can be reached at 732-532-0182 (phone) or 732-532-0194 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013099068 directly on the NPPES registry website.

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