Active NPIIndividual provider

Jonathan Moore

Physician Assistant in Westfield, Massachusetts

NPI Number1396619698
Practice location
577 Western Ave, Westfield, MA 01085-2580
Fax
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Last updated
October 1, 2025

Jonathan Moore is a Physician Assistant based in Westfield, MA. Jonathan Moore practices in Westfield, MA. The NPI Number for Jonathan Moore is 1396619698. The current practice location address for Jonathan Moore is 577 Western Ave, Westfield, MA 01085-2580 and can be reached out via phone at 401-663-0746.

Provider Profile Details

NPI Number
1396619698
Provider Name
Jonathan Moore
Provider Entity Type
Individual
Gender
Male
Address
577 Western Ave, Westfield, MA 01085-2580
Phone Number
401-663-0746
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2025
Last Update Date
October 1, 2025
Certification Date
October 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
577 Western Ave
Westfield, MA 01085-2580
Zip
01085-2580
Phone Number
401-663-0746
Westfield, MA 01085Get directions →

Provider Business Mailing Address Details

Address
577 Western Ave
Westfield, MA 01085-2580
City
Westfield
State
MA
Zip
01085-2580

License Information

Taxonomy
Physician Assistant · 363A00000X · 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 Jonathan Moore?

The NPI number of Jonathan Moore is 1396619698. It was assigned on October 1, 2025 and is currently active in the NPPES registry.

What is the specialty of Jonathan Moore?

Jonathan Moore is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Jonathan Moore practice?

The practice location is 577 Western Ave, Westfield, MA 01085-2580. The office can be reached at 401-663-0746 (phone).

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 1396619698 directly on the NPPES registry website.

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