Dr Nicholas M Moore, PSYD is a
Psychologist - Clinical based in Atco, New Jersey. Dr Nicholas M Moore is licensed to practice in New Jersey (license number 35SI00631200) and his current practice location is
7 Brookview Dr, Atco, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 658-7653.
NPI number for Dr Nicholas M Moore is 1336795509 and his current mailing address is 10000 Midlantic Dr Ste 101e, Mount Laurel, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336795509.
Healthcare Provider's Profile
| Full Name | Dr Nicholas M Moore |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 7 Brookview Dr, Atco, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336795509
- Provider Enumeration Date: 08/14/2019
- Last Update Date: 09/25/2024
Medical Identifiers
Medical identifiers for Dr Nicholas M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336795509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY10540 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS020137 (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | 07284 (Maryland) | Secondary |
| 103TC0700X | Psychologist - Clinical | 35SI00631200 (New Jersey) | 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. Dr Nicholas M 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 |
|---|
Dr Nicholas M Moore, PSYD
10000 Midlantic Dr Ste 101e,
Mount Laurel, NJ 08054-1504
Ph: (732) 982-2888 | Dr Nicholas M Moore, PSYD
7 Brookview Dr,
Atco, NJ 08004-2931
Ph: (856) 658-7653 |
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