Joanna Jill Moulton, PNP, RN | |
1275 York Ave, 9th Floor Department Of Pediatrics, New York, NY 10065-6007 | |
(212) 639-2000 | |
Not Available |
Full Name | Joanna Jill Moulton |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1275 York Ave, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093992034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 541901 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 381942 (New York) | Primary |
Entity Name | Schc Pediatric Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255363578 PECOS PAC ID: 0648179432 Enrollment ID: O20040226000401 |
Entity Name | Stc Pediatrics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
Mailing Address | Practice Location Address |
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Joanna Jill Moulton, PNP, RN 1275 York Ave, 9th Floor Department Of Pediatrics, New York, NY 10065-6007 Ph: (212) 639-2000 | Joanna Jill Moulton, PNP, RN 1275 York Ave, 9th Floor Department Of Pediatrics, New York, NY 10065-6007 Ph: (212) 639-2000 |
Mrs. Zana Correa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10065 Phone: 646-422-4450 | |
Maureen Licursi, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 Fort Washington Ave, 7th Floor, New York, NY 10032 Phone: 212-305-2466 | |
Ms. Brenda Dawn Slade, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3009 Broadway, Barnard College Health Service, New York, NY 10027 Phone: 212-854-2091 Fax: 212-854-2702 | |
Ms. Meredith Hooper Conry, N.P.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 W 27th St, 6th Floor, New York, NY 10001 Phone: 212-691-2900 | |
Ms. Nicole Noelle Reynolds, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-682-7326 | |
Mrs. Sharlene Seecharran, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-2203 | |
Christina Madinabeitia Durney, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-5164 |