Beth A Moore (NPI# 1558408245, PAC ID# 7012948771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1558408245 |
| PAC ID by PECOS | 7012948771 |
| Professional Enrollment ID | I20050829000005 |
| Full Name | Beth A Moore |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
260 Long Ridge Rd Stamford CT 06905 |
| Phone Number | 4753196035 |
| Gender | F |
| Credential | MD |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070018 | GREENWICH HOSPITAL ASSOCIATION - |
| Address | Phone | Organization |
|---|---|---|
| 260 Long Ridge Rd, Stamford, CT 06905 | 4753196035 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
260 LONG RIDGE RD |
| City | STAMFORD |
| State | CT |
| Zip | 06905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charisse D Litchman | Neurology | Yale University | 260 Long Ridge Rd, Stamford, CT 06927-0001 |
| Alice H Rusk | Neurology | Yale University | 260 Long Ridge Rd, Stamford, CT 06927-0001 |
| Stephanie Jane Towns | Psychologist, Clinical | Yale University | 260 Long Ridge Rd, Stamford, CT 06927-0001 |
| Sean C Peden | Orthopedic Surgery | Yale University | 260 Long Ridge Rd, Stamford, CT 06927-0001 |
| David Emmanuel Gutierrez | Physical Medicine and Rehabilitation | Yale University | 260 Long Ridge Rd, Stamford, CT 06927-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott R Bender | Chiropractic | 1200 High Ridge Rd, Suite 3, Stamford, CT 06905-1202 | |
| Karen Poggi | Qualified Speech Language Pathologist | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Shiying Guo | Occupational Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Eri Kubota | Psychologist, Clinical | Spectrum Behavioral PC | 30 Buxton Farm Rd, Suite 140, Stamford, CT 06905-1206 |
| Caryn Mcallister | Physical Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Randall E Weeks | Psychologist, Clinical | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 | |
| Erin L Fiakos | Physical Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Stephanie Chartier | Occupational Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Tajhma D Burroughs | Occupational Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Michael Goldsmith | Physical Therapy | High Quality Home Therapy LLC | 30 Buxton Farm Rd, Suite 230, Stamford, CT 06905-1206 |
| Find all physicians in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STAMFORD + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.