QADARA FARIH MOORE PA-C NPI 1821049206

NPI Information

NPI: 1821049206
Provider Name: QADARA FARIH MOORE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
374 GRAND AVE
NEW HAVEN, CT
ZIP 06513
Phone: (203) 777-7411
Get Directions

Qadara Farih Moore, PA-C is a medical physician assistant in New Haven, CT. Qadara Farih Moore, PA-C NPI is 1821049206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

374 GRAND AVE
NEW HAVEN, CT
ZIP 06513-733
Phone: (203) 777-7411
Fax: (203) 777-6508

The NPI 1821049206 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 5/12/2006 and was last updated on 11/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	012904	NEW YORK	No
2	363AM0700X	Physician Assistant	Medical	001633	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38064	OTHER	CONNECTICUT	CONNECTICUT CONNECTICUT CONTROLLED SUBSTANCE
2	Q47566	MEDICARE UPIN	CONNECTICUT
3	1066955	OTHER		NCCPA CERTIFICATION
4	6543809	OTHER	NEW YORK	NEW YORK STATE (CERTIFICATE NUMBER)
5	11485065	OTHER	CONNECTICUT	CAQH
6	MM1291614	OTHER		DEA REGISTRATION
7	012904	OTHER	NEW YORK	NEW YORK STATE (LICENSE NUMBER)
8	970001903	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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