Active NPIIndividual provider

Mr. Theodore A Moore, MA

Counselor, Professional in Pennington, New Jersey

NPI Number1134290695
Practice location
2 Tree Farm Road, Suite B 220, Pennington, NJ 08534-3620
Fax
609-730-8282
Last updated
January 7, 2019

Theodore A Moore is a Counselor, Professional based in Pennington, NJ. Theodore A Moore practices in Pennington, NJ and has the professional credentials of MA. The NPI Number for Theodore A Moore is 1134290695 and holds a License No. 37PC00015000 (NJ). The current practice location address for Theodore A Moore is 2 Tree Farm Road, Suite B 220, Pennington, NJ 08534-3620 and can be reached out via phone at 609-730-8282 and via fax at 609-730-8282.

Provider Profile Details

NPI Number
1134290695
Provider Name
Theodore A Moore
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
2 Tree Farm Road, Suite B 220, Pennington, NJ 08534-3620
Phone Number
609-730-8282
Fax Number
609-730-8282
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
November 13, 2006
Last Update Date
January 7, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Tree Farm Road
Suite B 220
Pennington, NJ 08534-3620
Zip
08534-3620
Phone Number
609-730-8282
Fax Number
609-730-8282
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
2 Tree Farm Road
Suite B 220
Pennington, NJ 08534-3620
City
Pennington
State
NJ
Zip
08534-3620
Phone Number
609-730-8282
Fax Number
609-730-8282

License Information

License Number
37PC00015000
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · Primary

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. Theodore A Moore, MA?

The NPI number of Mr. Theodore A Moore, MA is 1134290695. It was assigned on November 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Theodore A Moore, MA?

Mr. Theodore A Moore, MA is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00015000.

Where does Mr. Theodore A Moore, MA practice?

The practice location is 2 Tree Farm Road, Suite B 220, Pennington, NJ 08534-3620. The office can be reached at 609-730-8282 (phone) or 609-730-8282 (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 1134290695 directly on the NPPES registry website.

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