MR. THEODORE A MOORE (NPI# 1134290695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134290695 |
| Entity Type | Individual |
| Full Name | MR. THEODORE A MOORE |
| Credential | M.A. |
| Practice Address |
2 Tree Farm Road Suite B 220 Pennington NJ 08534-3620 |
| Practice Telephone | 6097308282 |
| Practice Fax Number | 6097308282 |
| Mailing Telephone | 6097308282 |
| Mailing Fax Number | 6097308282 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00015000 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756027 | Theodore English Moore | Dentist | 9896 Rosemont Ave, Ste 204, Lone Tree, CO 80124 | 2005-08-04 |
| 1710091020 | Theodore Bruce Moore | Pediatrics | 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 | 2006-08-17 |
| 1164481552 | Theodore Craig Moore | Physical Therapist | 250 Elm Ave, Auburn, CA 95603-4226 | 2006-03-23 |
| Street Address |
2 TREE FARM ROAD SUITE B 220 |
| City | PENNINGTON |
| State | NJ |
| Zip Code | 08534-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285867218 | Joni Mantell | Social Worker | 2 Tree Farm Road, Iac Center, Suite A200, Pennington, NJ 08534 | 2009-08-25 |
| 1760512651 | Carenet Counseling | Counselor | 2 Tree Farm Road, Suite B 220, Pennington, NJ 08534-3620 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105163 | Arielle Skoryk | Psychologist | 800 Denow Road, Suite C #337, Pennington, NJ 08534 | 2020-08-19 |
| 1033751904 | Theresa Marie Archer | Registered Nurse | 108 Straube Center Blvd Suite I-17, Pennington, NJ 08534 | 2019-10-12 |
| 1295216059 | Confidentialistener LLC | Psychologist | 106 Straube Ctr Blvd Ste F112, Pennington, NJ 08534 | 2018-08-28 |
| 1245722164 | Jeffrey Adam Fehder | Nurse Anesthetist, Certified Registered | Capital Health Medical Center - Hopewell, 1 Capital Way - Second Floor, Anesthesia Offices, Pennington, NJ 08534 | 2018-06-06 |
| 1942711650 | Robert Vincent Simone | Social Worker | 65 South Main Street, Bldg. B Suite B-103, Pennington, NJ 08534 | 2017-10-20 |
| 1568980266 | Oaks Integrated Care | Clinic/Center | 720 Heritage Ct, Pennington, NJ 08534 | 2017-09-01 |
| 1326573601 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1891220174 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1124553409 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1215486147 | Janine Disanti | Optometrist | Two Capital Way, Suite 326, Matossian Eye Associates, Pennington, NJ 08534 | 2016-10-04 |
| Find all providers in zip 08534 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497291967 | Elizabeth Y Bausch | Counselor | 108 Straube Center Blvd Ste 18e, Pennington, NJ 08534-1421 | 2017-01-09 |
| 1972894574 | Erin M. Falk | Counselor | 100 Straube Center, Cmhs, Pennington, NJ 08534-1107 | 2011-04-29 |
| 1205829645 | Cherylanne Campbell | Counselor | 106 Straube Center Blvd Ste F105, Pennington, NJ 08534-1436 | 2005-08-30 |
| 1386271435 | Patricia Heenan | Counselor | 106 Straube Center Blvd, Pennington, NJ 08534-1449 | 2020-03-26 |
| 1164068151 | Patricia Ann Lieberman | Counselor | 106 Straube Center Blvd, Pennington, NJ 08534-1449 | 2019-11-25 |
| 1467009845 | Christine A Davirro | Counselor | 106 Straube Center Blvd, Pennington, NJ 08534-1449 | 2019-08-21 |
| 1902261019 | Jennifer Lesage | Counselor | 108 Straube Center Blvd, Suite I-4-b, Pennington, NJ 08534-1448 | 2015-12-17 |
| 1508087578 | Susan Brady Pinto | Counselor | 32 North Main Street, Pennington, NJ 08534-2736 | 2007-05-01 |
| 1649498494 | Sandra Kay Hakanson | Counselor | 110 Straube Center Blvd, Suite I-1-i, Pennington, NJ 08534-1462 | 2007-04-24 |
| 1760512651 | Carenet Counseling | Counselor | 2 Tree Farm Road, Suite B 220, Pennington, NJ 08534-3620 | 2007-03-07 |
| Find all providers in PENNINGTON | ||||
| City | PENNINGTON |
| Zip Code | 08534 |
Please comment or provide details below to improve the information on MR. THEODORE A 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.