MS. GWENDOLYN CALLA MOORE (NPI# 1114267572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114267572 |
| Entity Type | Individual |
| Full Name | MS. GWENDOLYN CALLA MOORE |
| Credential | CPNP |
| Practice Address |
6300 8th Ave Brooklyn NY 11220-4718 |
| Practice Telephone | 7187652500 |
| Practice Fax Number | 7187652630 |
| Mailing Telephone | 7187652500 |
| Mailing Fax Number | 7187652630 |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382340 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1952574964 | Gwendolyn F Moore | Dentist | 4233 Highway 8 East, Cleveland, MS 38732 | 2008-04-10 |
| 1487058145 | Gwendolyn Moore | Nurse Practitioner | 819 South Salina St, Syracuse, NY 13202 | 2014-10-09 |
| 1780944413 | Gwendolyn Moore | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-05-29 |
| 1144363037 | Gwendolyn Moore | Dietitian, Registered | 7777 Milliken Ave Ste 360, #2, Rancho Cucamonga, CA 91730-6782 | 2007-02-14 |
| Street Address |
6300 8TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11220-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382644 | Bernadine R. Donahue | Radiology | 6300 8th Ave, Lower Level, Brooklyn, NY 11220-4718 | 2005-08-02 |
| 1386256154 | Ariele Pollack | Nurse Practitioner | 6300 8th Ave, Brooklyn, NY 11220-4718 | 2020-08-21 |
| 1427502681 | Christina Lao | Nurse Practitioner | 6300 8th Ave, Brooklyn, NY 11220-4718 | 2016-08-04 |
| 1790149102 | Daniel David Rutimann | Psychologist | 6300 8th Ave, Brooklyn, NY 11220-4718 | 2016-04-12 |
| 1396117362 | Maimonides Medical Center | General Acute Care Hospital | 6300 8th Ave, Brooklyn, NY 11220-4718 | 2015-10-29 |
| 1205235199 | Aimee Gallant | Radiology | 6300 8th Ave, Brooklyn, NY 11220-4718 | 2014-08-18 |
| 1093051302 | Huiwen Ying | Nurse Practitioner | 6300 8th Ave, Brooklyn, NY 11220-4718 | 2012-12-14 |
| 1811275514 | David Berlach | Radiology | 6300 8th Ave, Lower Level, Brooklyn, NY 11220-4718 | 2011-07-28 |
| 1003115858 | Vivien Li | Nurse Practitioner | 6300 8th Ave, Brooklyn, NY 11220-4718 | 2011-03-18 |
| 1073833984 | Horace Tang | Internal Medicine | 6300 8th Ave, Brooklyn, NY 11220 | 2010-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231797 | Tingting Chen | Nurse Practitioner | 5618 7th Ave Brooklyn, New York, NY 11220 | 2020-09-28 |
| 1194345306 | Laura Cafro | Nurse Practitioner | 150 55 Th St, Brooklyn, NY 11220 | 2020-04-17 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| 1508405689 | Modern Eyes Optical LLC | Technician/Technologist | 5020 8th Ave, Modern Eyes Optical, Brooklyn, NY 11220 | 2020-01-06 |
| 1700437381 | Gabriella Scaglione | Dental Hygienist | 5800 2nd Ave, Brooklyn, NY 11220 | 2019-09-24 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1578116265 | Jing Li | Registered Nurse | 59-56 Brooklyn, Kings, NY 11220 | 2019-07-22 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1548729775 | Ayah Rashwan | Student in an Organized Health Care Education/Training Program | Nyu Langone Health 150 55th St, Brooklyn, NY 11220 | 2019-03-18 |
| 1477012854 | Jeffrey A Dang | Physician Assistant | 5517 7th Ave. #1f, Brooklyn, NY 11220 | 2019-03-15 |
| Find all providers in zip 11220 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1083246391 | Moriah Kendall | Nurse Practitioner | 949 48th St, Brooklyn, NY 11219-2919 | 2020-02-05 |
| 1831641893 | Hillary Elise Fairbanks | Nurse Practitioner | 774 Saratoga Ave, Brooklyn, NY 11212-4439 | 2016-10-25 |
| 1164806287 | Tayo Adjapon-yamoah | Nurse Practitioner | Sunset Park Children's Health At Nyu Langone, 5610 2nd Ave, Brooklyn, NY 11220 | 2015-07-18 |
| 1306233408 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 6010 Bay Pkwy Fl 9, Brooklyn, NY 11204-6079 | 2015-04-16 |
| 1972888618 | Betty P.l. Celestin | Nurse Practitioner | 15 Metrotech Center 11th Floor, Empire State Home Care Services Inc C/o Bridget O'conne, Brooklyn, NY 11201 | 2011-10-13 |
| 1184930406 | Claudia Senatore | Nurse Practitioner | 825 4th Ave Rm 254, Brooklyn, NY 11232-1701 | 2010-08-24 |
| 1558687731 | Evelyn Sarina Glaser | Nurse Practitioner | 309 47th St, Brooklyn, NY 11220-1111 | 2010-04-13 |
| Find all providers in BROOKLYN | ||||
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| 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.