MR. ANGELO DEWITT MOORE (NPI# 1013099068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013099068 |
| Entity Type | Individual |
| Full Name | MR. ANGELO DEWITT MOORE |
| Credential | FNP |
| Practice Address |
1075 Stephenson Ave Patterson Army Health Clinic Fort Monmouth NJ 07703-5000 |
| Mailing Address |
21 Millennium Loop Staten Island NY 10309-4337 |
| Practice Telephone | 7325320182 |
| Practice Fax Number | 7325320194 |
| Mailing Telephone | 7186304186 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163W00000X | Registered Nurse | 138235 | NC | Nursing Service Providers |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
648115 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1075 STEPHENSON AVE PATTERSON ARMY HEALTH CLINIC |
| City | FORT MONMOUTH |
| State | NJ |
| Zip Code | 07703-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013906189 | Ellen Teresa Foley | Social Worker | 1075 Stephenson Ave, Attn:credentials Office, Fort Monmouth, NJ 07703-5000 | 2005-10-20 |
| 1104335488 | Unity Place of Monmouth County, LLC | Substance Abuse Rehabilitation Facility | 1075 Stephenson Ave, Fort Monmouth, NJ 07703-1518 | 2017-09-29 |
| 1730698143 | Unity Place of Monmouth County, LLC | Substance Abuse Rehabilitation Facility | 1075 Stephenson Ave, Fort Monmouth, NJ 07703-1518 | 2017-09-28 |
| 1205031770 | Keller Army Community Hospital | Clinic/Center | 1075 Stephenson Ave, Usadc, Fort Monmouth, NJ 07703-1518 | 2007-06-15 |
| 1194889865 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1075 Stephenson Ave, Monmouth Poe Phcy, Fort Monmouth, NJ 07703-1518 | 2006-12-20 |
| 1124118476 | Samuel Gerard Falcone | Social Worker | 1075 Stephenson Ave, Patterson Army Health Clinic, Attn: Credentials Office, Fort Monmouth, NJ 07703-1518 | 2006-10-14 |
| 1477641793 | Jamie Gulden | Physician Assistant | 1075 Stephenson Ave, Patterson Army Healthcare Clinic, Fort Monmouth, NJ 07703-1518 | 2006-10-11 |
| 1437258886 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1075 Stephenson Ave, Bldg 1075 Monmouth Op Phcy, Fort Monmouth, NJ 07703-1518 | 2006-09-22 |
| 1356319545 | Jason E Cohen | Emergency Medicine | 1075 Stephenson Ave, Patterson Army Health Clinic, Fort Monmouth, NJ 07703-1518 | 2006-03-14 |
| 1134100555 | William Joseph Moran Jr. | Registered Nurse | 1075 Stephenson Ave, Pahc, Attn: Credentials Office, Fort Monmouth, NJ 07703-5000 | 2005-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912006685 | Keller Army Community Hospital | Clinic/Center | Bldg. 1075 Stephenson Ave., Ft. Monmouth, NJ 07703 | 2006-09-21 |
| 1790728301 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Fort Monmouth, Building 1003, Fort Monmouth, NJ 07703 | 2006-06-13 |
| 1184691255 | Asha Vijendran Rao | Internal Medicine | Stephensen Avenue, Va Cboc Fort Monmouth, Bldg 1075, Fort Monmouth, NJ 07703 | 2006-03-07 |
| 1407833288 | Jose Gabriel Bal | Family Medicine | Stephenson Ave, Building 1075, Fort Monmouth, NJ 07703 | 2005-12-22 |
| 1972584399 | Janet Logan | Registered Nurse | 1075 Stephenson Avenue-ft. Monmouth, Eatontown, NJ 07703 | 2005-11-11 |
| 1326029810 | Kylee Verlee Plummer | Registered Nurse | 1075 Stevenson Ave, Patterson Army Health Clinic, Fort Monmouth, NJ 07703 | 2005-11-10 |
| 1740261247 | Mary Baker Weaver | Licensed Practical Nurse | Bldg 1075 Stephenson Ave Ft. Monmouth, Eatontown, NJ 07703 | 2005-11-10 |
| 1144201963 | Carla Laurie Sawyer | Registered Nurse | 1075 Stenson Ave., Eatontown, NJ 07703 | 2005-11-09 |
| 1134100977 | Krista A Killins | Registered Nurse | Patterson Army Health Clinic, Bldg 1075 Stephenson Ave-ft Monmouth, Eatontown, NJ 07703 | 2005-11-09 |
| 1629059464 | Mary Cotogno | Registered Nurse | 1075 Stephenson Ave-fort Monmouth, Eatontown, NJ 07703 | 2005-11-09 |
| Find all providers in zip 07703 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1689273302 | Jackeline Martinez | Registered Nurse | 29a Beverly St, Carteret, NJ 07008-3174 | 2020-10-23 |
| 1659970853 | Hajime Ichikawa | Registered Nurse | 1202 Hilltop Rd, Mahwah, NJ 07430-2289 | 2020-10-20 |
| 1386242626 | Ebenezer Boahen | Registered Nurse | 16 Marshall St Apt 4h, Irvington, NJ 07111-8604 | 2020-10-09 |
| 1700483989 | Janet Becerra Lopez | Registered Nurse | 555 Main St Apt 8d, Chatham, NJ 07928-2126 | 2020-10-01 |
| 1407463193 | Burget Cort | Registered Nurse | 1663 Andrew St, Union, NJ 07083-4354 | 2020-09-26 |
| 1437765641 | Laurie Bezner | Registered Nurse | 212 W 2nd St, Moorestown, NJ 08057-2328 | 2020-09-22 |
| 1447865316 | Liliana Oscanoa | Registered Nurse | 292 W Broadway, Paterson, NJ 07522-1194 | 2020-09-09 |
| 1750995429 | Catherine Marie Oliver | Registered Nurse | 4 Holly Ct, Pittsgrove, NJ 08318-4605 | 2020-09-01 |
| 1881208452 | Jonas Pierre | Registered Nurse | 167 Harrison Ave Apt 2, Montclair, NJ 07042-2454 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT MONMOUTH |
| Zip Code | 07703 |
Please comment or provide details below to improve the information on MR. ANGELO DEWITT MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.