MR. KASEEM S MOORE (NPI# 1184250912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184250912 |
| Entity Type | Individual |
| Full Name | MR. KASEEM S MOORE |
| Other Name | MR. KASEEM A MOORE |
| Credential | AMBULETTE DRIVER |
| Practice Address |
25 Pond Hill Ln Walden NY 12586-2264 |
| Practice Telephone | 8452752632 |
| Practice Fax Number | 8457134656 |
| Mailing Telephone | 8452752632 |
| Mailing Fax Number | 8457134656 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | 806599263 | NY | Other Service Providers |
| Street Address |
25 POND HILL LN |
| City | WALDEN |
| State | NY |
| Zip Code | 12586-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396098000 | A Class 1-s Transportation Corporation | Non-emergency Medical Transport (VAN) | 56 Monro Street, Walden, NY 12586 | 2012-10-18 |
| 1851572978 | Cynthia Grant | Licensed Practical Nurse | 336 Derea Rd., Walden, NY 12586 | 2007-11-16 |
| 1568657005 | Walden Medical, Pllc | Physician Assistant | 142 South Montgomery St, Walden, NY 12586 | 2007-09-07 |
| 1053495176 | Samuel Michael Cerone | Physical Therapist | 152 Orange Ave, Walden, NY 12586 | 2006-10-25 |
| 1851480883 | Faisal Uppal | Dentist | 10 Orchard St., Hampton Family Dentistry of Walden, Walden, NY 12586 | 2006-10-11 |
| 1376649335 | Lcl Physical Therapy | Physical Therapist | 152 Orange Avenue, Orange Physical Therapy, Walden, NY 12586 | 2006-09-16 |
| 1649372988 | Khanjee Pharmacy Inc | Pharmacy | 38 Grant Street, Walden, NY 12586 | 2006-09-05 |
| 1760446389 | Donald P Segal | Podiatrist | 13 Orange Ave, Walden, NY 12586 | 2006-04-12 |
| 1568939627 | Karen J Schreiber | Registered Nurse | 21 Pleasant Ave, Walden, NY 12586 | 2018-10-26 |
| 1578786109 | Yoo Seok Lee | Dentist | 57 Main Street, Walden, NY 12586 | 2007-04-11 |
| Find all providers in zip 12586 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483138 | William Howard Horton II | Driver | 14 Woodrow Rd, Batavia, NY 14020-1202 | 2020-10-08 |
| 1881204642 | Peter Odion | Driver | 313 Utica Ave, Brooklyn, NY 11213-4998 | 2020-08-06 |
| 1407479363 | Ahmed A Mohammed | Driver | 724 23rd St # 2, Watervliet, NY 12189-2036 | 2020-05-26 |
| 1710511233 | Bipil Tummala | Driver | 509 N Washington St Ste 1, Rome, NY 13440-4279 | 2020-02-24 |
| 1932733581 | Griffiths Dodzi Kpogli | Driver | 112 Tudor Pl Apt 4d, Bronx, NY 10452-8566 | 2020-02-22 |
| 1306477518 | Sam Eugene Moore Jr. | Driver | 33 Du Bois Ave, Poughkeepsie, NY 12601-2140 | 2020-01-28 |
| 1942830864 | Anthony Fulmore | Driver | 36 Hart St, Brooklyn, NY 11206-6402 | 2020-01-20 |
| 1659901890 | Blake Loren Kowalski | Driver | 284 Hidden Valley Rd, Rochester, NY 14624-2356 | 2020-01-15 |
| 1285272567 | Steven Marino Ramos | Driver | 713a Southern Blvd # 3, Bronx, NY 10455-2105 | 2019-12-17 |
| 1073151833 | Sebastian Williams | Driver | 11547 Sutphin Blvd, Jamaica, NY 11434-1020 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
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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.