Dr. Mary Ellen Moore, DPT
Physical Therapist in Midland Park, New Jersey
1790093789- Practice location
- 33 Central Ave, Midland Park, NJ 07432-1401
- Phone
- 800-888-2250
- Fax
- —
- Last updated
- September 23, 2010
Mary Ellen Moore is a Physical Therapist based in Midland Park, NJ. Mary Ellen Moore practices in Midland Park, NJ and has the professional credentials of DPT. The NPI Number for Mary Ellen Moore is 1790093789 and holds a License No. 40QA01322900 (NJ). The current practice location address for Mary Ellen Moore is 33 Central Ave, Midland Park, NJ 07432-1401 and can be reached out via phone at 800-888-2250.
Provider Profile Details
- NPI Number
- 1790093789
- Provider Name
- Mary Ellen Moore
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 33 Central Ave, Midland Park, NJ 07432-1401
- Phone Number
- 800-888-2250
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 23, 2010
- Last Update Date
- September 23, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 Central Ave
Midland Park, NJ 07432-1401 - City
- Midland Park
- State
- New Jersey
- Zip
- 07432-1401
- Phone Number
- 800-888-2250
Provider Business Mailing Address Details
- Address
- 220 Ross Dr
Boonton, NJ 07005-1640 - City
- Boonton
- State
- NJ
- Zip
- 07005-1640
- Phone Number
- 908-578-9514
License Information
- License Number
- 40QA01322900
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · 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. Mary Ellen Moore, DPT?
The NPI number of Dr. Mary Ellen Moore, DPT is 1790093789. It was assigned on September 23, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary Ellen Moore, DPT?
Dr. Mary Ellen Moore, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01322900.
Where does Dr. Mary Ellen Moore, DPT practice?
The practice location is 33 Central Ave, Midland Park, NJ 07432-1401. The office can be reached at 800-888-2250 (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 1790093789 directly on the NPPES registry website.