Mrs Judith Clair Moore, CPNP is a
Registered Nurse physician based in Newark, New York. Mrs Judith Clair Moore is licensed to practice in New York (license number 416572) and her current practice location is 131 Drumlin Ct, Newark, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 332-7400.
NPI number for Mrs Judith Clair Moore is 1386680783 and her current mailing address is 131 Drumlin Ct, Newark, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386680783.
Physician's Profile
| Full Name | Mrs Judith Clair Moore |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 131 Drumlin Ct, Newark, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386680783
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 05/01/2026
Medical Identifiers
Medical identifiers for Mrs Judith Clair Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386680783 | NPI | - | NPPES |
| 109424DL | Other | | PFC |
| 02258175 | Other | | MED |
| P019380783 | Other | | BC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | F3807831 (New York) | Secondary |
| 163W00000X | Registered Nurse | 416572 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Judith Clair Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Judith Clair Moore, CPNP 131 Drumlin Ct, Newark, NY 14513-1863 Ph: (315) 332-7400 | Mrs Judith Clair Moore, CPNP 131 Drumlin Ct, Newark, NY 14513-1863 Ph: (315) 332-7400 |
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