Active NPIOrganization

Tracey J. Moreno, MD, LLC

Internal Medicine in Princeton, New Jersey

NPI Number1972825057
Practice location
601 Ewing St Ste C13, Princeton, NJ 08540-2758
Fax
609-924-5759
Last updated
January 7, 2011

Tracey J. Moreno, MD, LLC is a healthcare organization based in Princeton, NJ. Tracey J. Moreno, MD, LLC practices in Princeton, NJ. The NPI Number for Tracey J. Moreno, MD, LLC is 1972825057 and holds a License No. MA04597200 (NJ). The current practice location address for Tracey J. Moreno, MD, LLC is 601 Ewing St Ste C13, Princeton, NJ 08540-2758 and can be reached out via phone at 609-921-1424 and via fax at 609-924-5759.

Provider Profile Details

NPI Number
1972825057
Provider Name
Tracey J. Moreno, MD, LLC
Provider Entity Type
Organization
Address
601 Ewing St Ste C13, Princeton, NJ 08540-2758
Phone Number
609-921-1424
Fax Number
609-924-5759
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Tracey Judith Moreno, MD · Manager · 609-921-1424
Provider Enumeration Date
February 17, 2010
Last Update Date
January 7, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
601 Ewing St Ste C13
Princeton, NJ 08540-2758
Zip
08540-2758
Phone Number
609-921-1424
Fax Number
609-924-5759
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
601 Ewing St Ste C13
Princeton, NJ 08540-2758
City
Princeton
State
NJ
Zip
08540-2758
Phone Number
609-921-1424
Fax Number
609-924-5759

License Information

License Number
MA04597200
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Tracey J. Moreno, MD, LLC?

The NPI number of Tracey J. Moreno, MD, LLC is 1972825057. It was assigned on February 17, 2010 and is currently active in the NPPES registry.

What is the specialty of Tracey J. Moreno, MD, LLC?

Tracey J. Moreno, MD, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA04597200.

Where does Tracey J. Moreno, MD, LLC practice?

The practice location is 601 Ewing St Ste C13, Princeton, NJ 08540-2758. The office can be reached at 609-921-1424 (phone) or 609-924-5759 (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 1972825057 directly on the NPPES registry website.

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