Mr. Michael J Moore, LAT
Specialist/Technologist, Athletic Trainer in Madison, New Jersey
1811639321- Practice location
- 170 Ridgedale Ave, Madison, NJ 07940-1295
- Phone
- 973-593-3117
- Fax
- —
- Last updated
- April 13, 2022
Michael Joseph Moore is a Specialist/Technologist, Athletic Trainer based in Madison, NJ. Michael Joseph Moore practices in Madison, NJ and has the professional credentials of LAT. The NPI Number for Michael Joseph Moore is 1811639321 and holds a License No. 25MT00285700 (NJ). The current practice location address for Michael Joseph Moore is 170 Ridgedale Ave, Madison, NJ 07940-1295 and can be reached out via phone at 973-593-3117.
Provider Profile Details
- NPI Number
- 1811639321
- Provider Name
- Michael Joseph Moore
- Credential
- LAT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 170 Ridgedale Ave, Madison, NJ 07940-1295
- Phone Number
- 973-593-3117
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 13, 2022
- Last Update Date
- April 13, 2022
- Certification Date
- April 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Ridgedale Ave
Madison, NJ 07940-1295 - City
- Madison
- State
- New Jersey
- Zip
- 07940-1295
- Phone Number
- 973-593-3117
Provider Business Mailing Address Details
- Address
- 1001 Whispering Way Apt 193
Aberdeen, NJ 07747-1983 - City
- Aberdeen
- State
- NJ
- Zip
- 07747-1983
- Phone Number
- 201-741-8270
License Information
- License Number
- 25MT00285700
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · 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 Mr. Michael J Moore, LAT?
The NPI number of Mr. Michael J Moore, LAT is 1811639321. It was assigned on April 13, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Michael J Moore, LAT?
Mr. Michael J Moore, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00285700.
Where does Mr. Michael J Moore, LAT practice?
The practice location is 170 Ridgedale Ave, Madison, NJ 07940-1295. The office can be reached at 973-593-3117 (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 1811639321 directly on the NPPES registry website.