DR. CARLOS MORA (NPI# 1437223161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437223161 |
| Entity Type | Individual |
| Full Name | DR. CARLOS MORA |
| Credential | MD |
| Practice Address |
26 Stephen Street Montclair NJ 07042-5032 |
| Practice Telephone | 9735092408 |
| Practice Fax Number | 9735092408 |
| Mailing Telephone | 9735092408 |
| Mailing Fax Number | 9735092408 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
25MA08053200 | NJ | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0197502 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | XM4329973 | 01 | |
| NY | 01662440 | 05 | |
| DEA | BM4329973 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093169252 | Carlos G Mora | Counselor | 165 Capp Street, San Francisco, CA 94110 | 2016-04-14 |
| 1023007531 | Carlos Mora | Psychiatry & Neurology | 3 Shircliff Way Ste 724, Jacksonville, FL 32204-4786 | 2005-10-18 |
| 1184871436 | Carlos Mora | Specialist/Technologist, Other | 1600 Sarno Rd, Suite 15, Melbourne, FL 32935-4938 | 2008-08-19 |
| Street Address |
26 STEPHEN STREET |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-5032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255428322 | Bruce Phariss | Psychiatry & Neurology | 8 Hillside Ave, Suite 106, Montclair, NJ 07042-2129 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637150 | Caremed Plus P.C. | Psychiatry & Neurology | 508 Hamburg Tpke Ste 107, Wayne, NJ 07470-8482 | 2019-09-09 |
| 1003375023 | Center for Network Therapy | Psychiatry & Neurology | 20 Gibson Pl Ste 103, Freehold, NJ 07728-4837 | 2019-03-19 |
| 1548751258 | Garden State Treatment Center LLC | Psychiatry & Neurology | 350 Sparta Ave Ste A-201, Sparta, NJ 07871 | 2018-05-29 |
| 1295255149 | Bergen Psychiatric Care LLC | Psychiatry & Neurology | 65 N Maple Ave Ste 104, Ridgewood, NJ 07450-3233 | 2017-06-21 |
| 1255654752 | Tamer William Wassef | Psychiatry & Neurology | 424 Baldwin Ave, Jersey City, NJ 07306 | 2010-03-11 |
| 1861651077 | Jeffrey H Simon | Psychiatry & Neurology | 1930 Marlton Pike E Ste U100, Cherry Hill, NJ 08003-4212 | 2008-06-03 |
| 1730353814 | Joseph Glen Vitolo | Psychiatry & Neurology | 27 Hillsborough Dr, Monroe, NJ 08831-4746 | 2008-04-18 |
| 1992927859 | Todd Meredith Wilding | Psychiatry & Neurology | 7 Macculloch Ave., 2nd Floor, Morristown, NJ 07960 | 2007-05-02 |
| 1174648232 | Jacob H Jacoby | Psychiatry & Neurology | 654 Ave C, Suite 201, Bayonne, NJ 07002 | 2007-03-20 |
| 1265506158 | Cecilia Kalijman Karol | Psychiatry & Neurology | 1055 River Rd, Apt.511 S., Edgewater, NJ 07020-1364 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
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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.