ASHLEY BROOK MOORE PA NPI 1093261299

NPI Information

  • NPI: 1093261299
  • Provider Name: ASHLEY BROOK MOORE, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 121 EVERETT RD
    ALBANY, NY
    ZIP 12205
  • Phone: (518) 489-2663

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NPI Details

Ashley Brook Moore, PA is a surgical physician assistant in Albany, NY with 10 years of experience. Ashley Brook Moore, PA NPI is 1093261299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2016

The provider's business location address is:

121 EVERETT RD
ALBANY, NY
ZIP 12205-474
Phone: (518) 489-2663
Fax: (518) 689-3881

The NPI 1093261299 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Knee replacement (HCPCS:NAN06)

The enumeration date for this NPI number is 8/28/2016 and was last updated on 7/16/2025.

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
1363A00000XPhysician Assistant019958NEW YORKNo
2363AS0400XPhysician AssistantSurgical019958NEW YORKYes

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
104551011MEDICAIDNEW YORK

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: 11/21/2025

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