Active NPIIndividual provider

Melanie Moreno, PA-C

Physician Assistant in South Windsor, Connecticut

NPI Number1972313039
Practice location
2400 Tamarack Ave Ste 101, South Windsor, CT 06074-5556
Fax
—
Last updated
February 9, 2026

Melanie Moreno is a Physician Assistant based in South Windsor, CT. Melanie Moreno practices in South Windsor, CT and has the professional credentials of PA-C. The NPI Number for Melanie Moreno is 1972313039 and holds a License No. 7548 (CT). The current practice location address for Melanie Moreno is 2400 Tamarack Ave Ste 101, South Windsor, CT 06074-5556 and can be reached out via phone at 860-644-4442.

Provider Profile Details

NPI Number
1972313039
Provider Name
Melanie Moreno
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2400 Tamarack Ave Ste 101, South Windsor, CT 06074-5556
Phone Number
860-644-4442
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
January 10, 2025
Last Update Date
February 9, 2026
Certification Date
February 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2400 Tamarack Ave Ste 101
South Windsor, CT 06074-5556
Zip
06074-5556
Phone Number
860-644-4442
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
10 Wedgewood Dr Apt A6
Bloomfield, CT 06002-1936
City
Bloomfield
State
CT
Zip
06002-1936

License Information

License Number
7548
License State
CT
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 Melanie Moreno, PA-C?

The NPI number of Melanie Moreno, PA-C is 1972313039. It was assigned on January 10, 2025 and is currently active in the NPPES registry.

What is the specialty of Melanie Moreno, PA-C?

Melanie Moreno, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 7548.

Where does Melanie Moreno, PA-C practice?

The practice location is 2400 Tamarack Ave Ste 101, South Windsor, CT 06074-5556. The office can be reached at 860-644-4442 (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 1972313039 directly on the NPPES registry website.

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