MICHELLE ELISE MORENO


Address: 100 E 77th St, New York, NY 10075-1850
Phone: 2124343000

MICHELLE ELISE MORENO (NPI# 1013426683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013426683
Entity Type Individual
Full Name MICHELLE ELISE MORENO
Credential PA-C
Practice Address 100 E 77th St
New York
NY 10075-1850
Mailing Address 3934 28th St Apt 3
Long Island City
NY 11101-3729
Practice Telephone 2124343000
Mailing Telephone 6312356098
Enumeration Date 2017-09-26
Last Update Date 2017-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHELLE MORENO

NPI Name Taxonomy Address Enumeration
1619501525 Michelle Gracie Moreno Technician 10125 Frazier Rd, Redding, CA 96003-9241 2020-02-29
1689910614 Michelle Eugenia Moreno Licensed Vocational Nurse 2300 S Lewis St Spc 70, Anaheim, CA 92802-5017 2012-12-19
1710528930 Michelle Moreno Technician 23880 Scarlet Oak Dr, Murrieta, CA 92562-5084 2019-09-30
1184193625 Michelle Stacy Moreno Case Manager/Care Coordinator 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1115 2018-11-14
1538647680 Michelle Moreno Counselor 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 2018-08-01
1407223373 Michelle Moreno Dental Hygienist 6 102nd St, Troy, NY 12180-1152 2015-08-27
1710241310 Michelle Moreno Social Worker 615 13th St, Suite B, Modesto, CA 95354-2456 2012-06-28
1174769434 Michelle Moreno Family Medicine 1400 S Arlington St Unit 38, Akron, OH 44306-3771 2008-12-16
1407050362 Michelle Moreno Counselor 8745 County Road 9 S, Alamosa, CO 81101-9610 2007-06-13

Office Location

Street Address 100 E 77TH ST
City NEW YORK
State NY
Zip Code 10075-1850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942206081 Shanthamallappa Ashok Anesthesiology 100 E 77th St, New York, NY 10021-1850 2005-06-23
1952902140 Dominique Anselmin Physician Assistant 100 E 77th St, New York, NY 10075-1850 2020-11-04
1780290668 Tiffany Wong Pharmacist 100 E 77th St, New York, NY 10075-1850 2020-09-16
1023621059 Brandon Capaldo Physician Assistant 100 E 77th St, New York, NY 10075-1850 2020-08-28
1629688957 Carey Davidson Physician Assistant 100 E 77th St, New York, NY 10075-1850 2020-08-02
1588273585 Erin Rose May Nurse Practitioner 100 E 77th St, New York, NY 10075-1850 2020-07-26
1477162790 Michael Jonathan Stein Surgery 100 E 77th St, New York, NY 10075-1850 2020-07-23
1881212660 Mary Victoria Rizzo Physician Assistant 100 E 77th St, New York, NY 10075-1850 2020-07-08
1295350312 Sahar Nematollah Zadeh Mahani Student in an Organized Health Care Education/Training Program 100 E 77th St, New York, NY 10075-1850 2020-06-15
1013538180 Ashley Warman Clinical Ethicist 100 E 77th St, New York, NY 10075-1850 2020-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457961062 Rosaleen Christine Galvin Nurse Practitioner 415 East 80th St, Apt. 1n, New York, NY 10075 2020-08-07
1528602810 Jane C Karsh Social Worker 50 East 78th St. #9a, New York, NY 10075 2019-10-30
1417513052 Up Up and Away Behavior Analytics PC Behavioral Analyst 435 East 79th Street, Apt. 6u, New York, NY 10075 2019-05-18
1730742727 Liron Bar-el Student in an Organized Health Care Education/Training Program 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 2019-04-16
1912468380 Doaa Morrar Student in an Organized Health Care Education/Training Program 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 2019-03-28
1588138382 Nichola Stimpson Registered Nurse Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 2019-01-15
1316433147 Lindsay Dudek Advanced Practice Midwife 336 E 77th St Apt 19, New York, NY 10075 2018-07-04
1104315480 Erica Refkin Speech-Language Pathologist Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 2018-05-02
1275021198 Yaniv Yosef Brailovschi Student in an Organized Health Care Education/Training Program 130 77th Street 2 Black Hall, New York, NY 10075 2018-04-26
1952807687 James Chris Velasquez IIi Student in an Organized Health Care Education/Training Program 520 E 79th, 4b, New York, NY 10075 2018-04-02
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295347078 Alana Janine Miller Physician Assistant 1060 5th Ave # 1b, New York, NY 10128-0104 2020-08-21
1861041840 Gabriella Fluss Physician Assistant 268 W 84th St Apt 6c, New York, NY 10024-4362 2019-09-11
1659929123 Jacob Mark Czajka Physician Assistant 130 E 77th St Fl Hall11, New York, NY 10075-1851 2019-08-28
1033766860 Deena Rothman Physician Assistant 1090 Amsterdam Ave Ste 10a, New York, NY 10025-1737 2019-08-26
1730698747 Nolle L Graham Physician Assistant East 101 Street, New York, NY 10029 2017-09-21
1629594494 Emma Ungureanu Physician Assistant 1790 Broadway/ 5 Columbus Circle, Fl 8, New York, NY 10019-1412 2017-08-14
1881117141 Kaitlin Anne Tergesen Physician Assistant 3959 Broadway # Chn216, New York, NY 10032-1559 2017-07-19
1356879217 Andreina Armas Physician Assistant E 101st Street, Mount Sinai, New York, NY 10029 2017-05-23
1093189870 Amanda Londino Physician Assistant 568 Park Avenue, New York, NY 10068 2015-11-17
1437521549 Heather Sorrentino Physician Assistant 105 Haven Ave Apt 3d, New York, NY 10032-2708 2015-10-28
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Competitor

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City NEW YORK
Zip Code 10075

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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