| John W Moreno, RPA-C | |
|
2915 Sunrise Hwy, Islip Terrace, NY 11752-2716 | |
| (631) 665-8006 | |
| Not Available |
| Full Name | John W Moreno |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 2915 Sunrise Hwy, Islip Terrace, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801074224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 012343 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerwell Home Health | Hauppauge, NY | Home health agency |
| Peconic Bay Homehealth Services | Riverhead, NY | Home health agency |
| North Shore University Hospital | Manhasset, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 6374 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| John W Moreno, RPA-C 206 Martha Ave, East Patchogue, NY 11772-4948 Ph: (631) 375-1577 | John W Moreno, RPA-C 2915 Sunrise Hwy, Islip Terrace, NY 11752-2716 Ph: (631) 665-8006 |
Mr. James Scott Gould, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Floral Park St, Islip Terrace, NY 11752 Phone: 631-581-0410 |
Miss Jacquelyn O'hare, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Norwood St, Islip Terrace, NY 11752 Phone: 631-897-0355 |