THOMAS A MOULTON (NPI# 1215013156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215013156 |
| Entity Type | Individual |
| Full Name | THOMAS A MOULTON |
| Credential | MD |
| Practice Address |
2432 Grand Concourse Poe Clinic Bronx NY 10458 |
| Mailing Address |
2222 28th St Astoria NY 11105-2702 |
| Practice Telephone | 7185797337 |
| Practice Fax Number | 7188177904 |
| Mailing Telephone | 7187212780 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2010-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
168593 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01232099 | 05 |
| Street Address |
2432 GRAND CONCOURSE POE CLINIC |
| City | BRONX |
| State | NY |
| Zip Code | 10458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803380 | Gabor Pal Szuhay | Psychiatry & Neurology | 2432 Grand Concourse, Bronx, NY 10458-5204 | 2005-06-30 |
| 1568015147 | Hossein Azadi | Student in an Organized Health Care Education/Training Program | 2432 Grand Concourse, Bronx, NY 10458-5204 | 2019-07-22 |
| 1265922983 | Timothy Tracey Stephens | Family Medicine | 2432 Grand Concourse, Bronx, NY 10458-5204 | 2018-05-17 |
| 1427506765 | Daniel Mejia | Social Worker | 2432 Grand Concourse, First Floor, Bronx, NY 10458-5204 | 2016-09-15 |
| 1588027452 | Nawshad Uddin | Registered Nurse | 2432 Grand Concourse, Bronx, NY 10458-5204 | 2016-03-30 |
| 1780065466 | Clavedia Charles | Social Worker | 2432 Grand Concourse, Bronx, NY 10458-5204 | 2015-06-17 |
| 1003200445 | May Yee Choi | Emergency Medicine | 2432 Grand Concourse, Bronx, NY 10458-5204 | 2015-03-24 |
| 1598195695 | Advanced Dermatology of New York, PC | Specialist | 2432 Grand Concourse, Bronx, NY 10458-5204 | 2013-11-26 |
| 1922348515 | Lourdes Hawkins | Speech-Language Pathologist | 2432 Grand Concourse, Bronx, NY 10458 | 2013-02-19 |
| 1861767303 | Jinan Banna | Dietitian, Registered | 2432 Grand Concourse, Bronx, NY 10458-5204 | 2012-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954493 | Belmont Medical PC | Specialist | 2525 Belmont Ave, Bronx, NY 10458 | 2020-02-14 |
| 1730731787 | Abreu Child and Parent Services Inc. | Speech-Language Pathologist | 2870 Marion Ave. Apt. 3c, Bronx, NY 10458 | 2019-07-10 |
| 1801457080 | Family Adult Day Care, Inc. | Clinic/Center | 2332 Hoffman Street, 2nd & 3rd Floor, Bronx, NY 10458 | 2019-06-27 |
| 1366005969 | Janet Jeonghwa Lee | Dentist | 260 E 188th Street, St. Barnabas Hospital, 1st Floor, Division of Orthodontics, Bronx, NY 10458 | 2019-04-18 |
| 1205308004 | Feben Kurban | Audiologist | 625 East Fordham Road, Bronx, NY 10458 | 2018-12-19 |
| 1306328737 | Lauretta Marie Tomaso | Nurse Practitioner | 500 East Fordham Road, Bronx, NY 10458 | 2018-09-01 |
| 1457831992 | Cinthia Isabel Morales | Counselor | 2488 Grandconcourse Suite 417, Bronx, NY 10458 | 2018-08-15 |
| 1588159156 | Raquel Lamarche | Student in an Organized Health Care Education/Training Program | 2505 Lorillard Pl Apt 1d, Bronx, NY 10458 | 2018-06-26 |
| 1750832929 | Classic Home Care, Inc. | In Home Supportive Care | 2655a Webster Avenue, 2nd Floor, Bronx, NY 10458 | 2016-10-21 |
| 1023565637 | Emily Hemingway | Physical Therapist | 397 E 198th St, Bronx, NY 10458 | 2016-09-01 |
| Find all providers in zip 10458 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780972067 | Rochelle Renae Maxwell | Pediatrics | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2011-07-20 |
| 1982839858 | Jeremy Rosenblum | Pediatrics | 111 E 210th St, Rosenthal 3, Bronx, NY 10467-2401 | 2009-05-21 |
| 1710152236 | Lisa Marie Gennarini | Pediatrics | 3415 Bainbridge Ave, Rosenthal 303, Bronx, NY 10467-2403 | 2008-04-25 |
| 1477751147 | Manpreet Kaur Ahluwalia | Pediatrics | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2007-07-04 |
| 1568524650 | Rosanna Jane Ricafort | Pediatrics | 3415 Bainbridge Avenue, Bronx, NY 10467-2490 | 2006-12-14 |
| 1710065974 | Adam S Levy | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-11-02 |
| 1215013164 | Eva G Radel | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-31 |
| 1427134360 | Richard G Gorlick | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-31 |
| 1437235702 | Catherine Driscoll | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-30 |
| 1922077544 | Deepa Manwani | Pediatrics | 3415 Bainbridge Ave, Childrens Hospital At Montefiore, Bronx, NY 10467-2403 | 2006-03-16 |
| Find all providers in BRONX | ||||
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| 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.