Dr Mary Ellen Moore, DPT | |
33 Central Ave, Midland Park, NJ 07432-1401 | |
(800) 888-2250 | |
Not Available |
Full Name | Dr Mary Ellen Moore |
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Gender | Female |
Speciality | Physical Therapist |
Location | 33 Central Ave, Midland Park, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790093789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01322900 (New Jersey) | Primary |
Provider Name | Trinitas Physicians Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205189941 PECOS PAC ID: 6709002850 Enrollment ID: O20140725000027 |
Mailing Address | Practice Location Address |
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Dr Mary Ellen Moore, DPT 220 Ross Dr, Boonton, NJ 07005-1640 Ph: (908) 578-9514 | Dr Mary Ellen Moore, DPT 33 Central Ave, Midland Park, NJ 07432-1401 Ph: (800) 888-2250 |
Jaclyn Anne Gonzalez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 Fax: 201-639-8874 | |
Cristina K Salazar, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 33 Central Ave, Midland Park, NJ 07432 Phone: 201-689-0800 Fax: 201-689-0871 | |
Timothy J Roy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 Fax: 201-639-8874 | |
Denise Inirio, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Highland Ave, Midland Park, NJ 07432 Phone: 201-445-3880 | |
Mrs. Pamela Holly Pollack, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 | |
Kelly A Fleming, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 Godwin Ave, Midland Park, NJ 07432 Phone: 201-444-4991 | |
Lucas Mazurek, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 Godwin Ave, Midland Park, NJ 07432 Phone: 201-639-8870 Fax: 201-639-8874 |