Active NPIIndividual provider

Dr. Marnell P Moore, DPM

Podiatrist, Foot & Ankle Surgery in East Orange, New Jersey

NPI Number1821149451
Practice location
310 Central Ave Ste 301, East Orange, NJ 07018-2838
Fax
201-228-1689
Last updated
June 1, 2026

Marnell Paul Moore is a Podiatrist, Foot & Ankle Surgery based in East Orange, NJ. Marnell Paul Moore practices in East Orange, NJ and has the professional credentials of DPM. The NPI Number for Marnell Paul Moore is 1821149451 and holds a License No. 25MD00289000 (NJ). The current practice location address for Marnell Paul Moore is 310 Central Ave Ste 301, East Orange, NJ 07018-2838 and can be reached out via phone at 973-337-2893 and via fax at 201-228-1689.

Provider Profile Details

NPI Number
1821149451
Provider Name
Marnell Paul Moore
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
310 Central Ave Ste 301, East Orange, NJ 07018-2838
Phone Number
973-337-2893
Fax Number
201-228-1689
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
January 12, 2007
Last Update Date
June 1, 2026
Certification Date
June 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 Central Ave Ste 301
East Orange, NJ 07018-2838
Zip
07018-2838
Phone Number
973-337-2893
Fax Number
201-228-1689
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
310 Central Ave Ste 301
East Orange, NJ 07018-2838
City
East Orange
State
NJ
Zip
07018-2838
Phone Number
973-337-2893
Fax Number
201-228-1689

License Information

License Number (1)
25MD00289000
License State (1)
NJ
Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
License Number (2)
25MD00289000
License State (2)
NJ
Taxonomy (2)
Podiatrist · 213E00000X

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 Dr. Marnell P Moore, DPM?

The NPI number of Dr. Marnell P Moore, DPM is 1821149451. It was assigned on January 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Marnell P Moore, DPM?

Dr. Marnell P Moore, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00289000.

Where does Dr. Marnell P Moore, DPM practice?

The practice location is 310 Central Ave Ste 301, East Orange, NJ 07018-2838. The office can be reached at 973-337-2893 (phone) or 201-228-1689 (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 1821149451 directly on the NPPES registry website.

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