Dr. Oliver Moore, DNP, APN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Newark, New Jersey
1770068942- Practice location
- 550 Broad St Ste 606, Newark, NJ 07102-4537
- Phone
- 201-822-1161
- Fax
- 877-485-8918
- Last updated
- June 5, 2026
Oliver Moore is a Nurse Practitioner, Psych/Mental Health based in Newark, NJ. Oliver Moore practices in Newark, NJ and has the professional credentials of DNP, APN, PMHNP-BC. The NPI Number for Oliver Moore is 1770068942 and holds a License No. 26NJ00872800 (NJ). The current practice location address for Oliver Moore is 550 Broad St Ste 606, Newark, NJ 07102-4537 and can be reached out via phone at 201-822-1161 and via fax at 877-485-8918.
Provider Profile Details
- NPI Number
- 1770068942
- Provider Name
- Oliver Moore
- Credential
- DNP, APN, PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 550 Broad St Ste 606, Newark, NJ 07102-4537
- Phone Number
- 201-822-1161
- Fax Number
- 877-485-8918
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 3, 2018
- Last Update Date
- June 5, 2026
- Certification Date
- June 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 550 Broad St Ste 606
Newark, NJ 07102-4537 - City
- Newark
- State
- New Jersey
- Zip
- 07102-4537
- Phone Number
- 201-822-1161
- Fax Number
- 877-485-8918
Provider Business Mailing Address Details
- Address
- 532 Marlton Pike W # 407
Marlton, NJ 08053-2075 - City
- Marlton
- State
- NJ
- Zip
- 08053-2075
- Phone Number
- 323-853-8019
License Information
- License Number
- 26NJ00872800
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Oliver Moore, DNP, APN, PMHNP-BC?
The NPI number of Dr. Oliver Moore, DNP, APN, PMHNP-BC is 1770068942. It was assigned on October 3, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Oliver Moore, DNP, APN, PMHNP-BC?
Dr. Oliver Moore, DNP, APN, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00872800.
Where does Dr. Oliver Moore, DNP, APN, PMHNP-BC practice?
The practice location is 550 Broad St Ste 606, Newark, NJ 07102-4537. The office can be reached at 201-822-1161 (phone) or 877-485-8918 (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 1770068942 directly on the NPPES registry website.