ANGELA MOORE (NPI# 1689759003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689759003 |
| Entity Type | Individual |
| Full Name | ANGELA MOORE |
| Credential | CDN |
| Practice Address |
256 Mason Ave Staten Island NY 10305 |
| Mailing Address |
One Edgewater Street Suite 723 Staten Island NY 10305 |
| Practice Telephone | 7182261300 |
| Practice Fax Number | 7182261259 |
| Mailing Telephone | 7182261013 |
| Mailing Fax Number | 7182261039 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 006032 | NY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941694 | Angela Moore | Home Health | 1905 Emily Blnd, Winter Haven, FL 33884-3388 | 2019-09-13 |
| 1699257766 | Angela Charice Moore | Counselor | 4581 S Lapeer Rd Ste F, Orion, MI 48359-2415 | 2018-09-05 |
| 1962911917 | Angela Courtney Moore | Nurse Practitioner | 5040 Nw 7th St Ste 750, Miami, FL 33126-3490 | 2017-09-21 |
| 1417496027 | Angela Moore | Counselor | 905 S 30th St, Broken Arrow, OK 74014-2848 | 2017-02-15 |
| 1992256309 | Angela Moore | Nurse's Aide | 519 W 2nd St, Genoa, IL 60135-1058 | 2016-10-20 |
| 1124579156 | Angela Moore | Occupational Therapist | 7204 Donneeford Rd, Wake Forest, NC 27587-8026 | 2016-10-14 |
| 1760704381 | Angela Santa Moore | Dentist | 1516 Michael Dr, Bedford, TX 76022-7248 | 2010-02-23 |
| 1962631317 | Angela Moore | Specialist | 47 Murray Guard Dr Ste B, Jackson, TN 38305-3765 | 2009-07-07 |
| 1184864076 | Angela Sue Moore | Family Medicine | 2131 N Ridge Road, Wichita, KS 67212-1570 | 2009-03-05 |
| 1073751830 | Angela Leigh Moore | Chiropractor | 3751 S Clyde Morris Blvd Unit 7, Port Orange, FL 32129-2356 | 2009-01-30 |
| Street Address |
256 MASON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154313542 | Qun Dai | Internal Medicine | 256 Mason Ave, Staten Island, NY 10305-3408 | 2005-08-22 |
| 1215598487 | Amanda R Molloy | Registered Nurse | 256 Mason Ave, Staten Island, NY 10305-3408 | 2019-06-27 |
| 1588103188 | A Personal Touch Garment Corporation | Durable Medical Equipment & Medical Supplies | 256 Mason Ave, 2nd Floor, Building B, Staten Island, NY 10305-3408 | 2017-02-15 |
| 1043689524 | Kathleen Del Duca | Speech-Language Pathologist | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2015-09-15 |
| 1053658815 | Laura Frances Longo | Nurse Practitioner | 256 Mason Ave, Staten Island, NY 10305-3408 | 2013-01-13 |
| 1558655365 | Jessica L De Petro | Genetic Counselor, MS | 256 Mason Ave, Building B, 2nd Floor, Staten Island, NY 10305-3408 | 2011-06-09 |
| 1588965826 | Betty Marie Constant | Nurse Practitioner | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2010-11-03 |
| 1568772861 | Michelle Marie Vanpelt | Registered Nurse | 256 Mason Ave, Staten Island, NY 10305-3408 | 2010-10-20 |
| 1023342003 | Laura Polito | Physician Assistant | 256 Mason Ave, Building B- 2nd Floor, Staten Island, NY 10305-3408 | 2009-09-24 |
| 1588998850 | John Afthinos | Surgery | 256 Mason Ave, Bldg B, Staten Island, NY 10305-3408 | 2009-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| 1275070765 | Malgorzata Rokoszak | Dietitian, Registered | 97 Lansing St, Staten Island, NY 10305-4307 | 2017-01-23 |
| 1922558790 | Alexandra D'elia | Dietitian, Registered | 411 Huguenot Ave, Staten Island, NY 10312-1101 | 2016-10-05 |
| 1720445869 | Christina Fahy | Dietitian, Registered | 2375 Richmond Rd, Staten Island, NY 10306-2352 | 2016-01-20 |
| 1427422484 | Judy Desantis | Dietitian, Registered | 1187 Richmond Ave, Staten Island, NY 10314-7428 | 2015-11-13 |
| 1013355395 | Karla E Journey | Dietitian, Registered | 17 Azalea Ct, Staten Island, NY 10309-1633 | 2013-06-10 |
| 1508202748 | Estee Smoler | Dietitian, Registered | 346 Woodrow Rd, Staten Island, NY 10312-1305 | 2013-05-15 |
| 1396041190 | Andrea Doria Cameron | Dietitian, Registered | 17 Purcell Street, Staten Island, NY 10310 | 2011-01-27 |
| 1811211550 | Shobha Nandivada | Dietitian, Registered | 113 Fieldstone Rd, Staten Island, NY 10314-3275 | 2010-03-24 |
| 1962733311 | Sally-ann Clementoni | Dietitian, Registered | 366 Burgher Ave, Apt 1a, Staten Island, NY 10305-2317 | 2010-01-25 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.