Mr Angelo Dewitt Moore, FNP - Nurse Practitioner in Fort Monmouth, NJ

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Mr Angelo Dewitt Moore, FNP is a Nurse Practitioner - Family based in Fort Monmouth, New Jersey. Mr Angelo Dewitt Moore is licensed to practice in Texas (license number 648115) and his current practice location is 1075 Stephenson Ave, Patterson Army Health Clinic, Fort Monmouth, New Jersey. He can be reached at his office (for appointments etc.) via phone at (732) 532-0182.

NPI number for Mr Angelo Dewitt Moore is 1013099068 and his current mailing address is 21 Millennium Loop, Staten Island, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013099068.

Contact Information

Mr Angelo Dewitt Moore, FNP
1075 Stephenson Ave, Patterson Army Health Clinic,
Fort Monmouth, NJ 07703-5000
(732) 532-0182
(732) 532-0194

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Provider's Profile

Full NameMr Angelo Dewitt Moore
GenderMale
SpecialityNurse Practitioner - Family
Location1075 Stephenson Ave, Fort Monmouth, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013099068
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Angelo Dewitt Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013099068NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 138235 (North Carolina)Primary
363LF0000XNurse Practitioner - Family 648115 (Texas)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. Mr Angelo Dewitt 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 AddressPractice Location Address
Mr Angelo Dewitt Moore, FNP
21 Millennium Loop,
Staten Island, NY 10309-4337

Ph: (718) 630-4186		Mr Angelo Dewitt Moore, FNP
1075 Stephenson Ave, Patterson Army Health Clinic,
Fort Monmouth, NJ 07703-5000

Ph: (732) 532-0182

Reviews and Comments


Nurse Practitioner Nurses in Fort Monmouth, NJ


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