DR. NICHOLAS SIMMS MOORE MD NPI 1093339491

NPI Information

  • NPI: 1093339491
  • Provider Name: DR. NICHOLAS SIMMS MOORE, MD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 35 PARK ST # LL-509
    NEW HAVEN, CT
    ZIP 06519
  • Phone: (203) 200-2100

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NPI Details

DR. Nicholas Simms Moore, MD is a radiation oncology radiology in New Haven, CT with 6 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Nicholas Simms Moore, MD NPI is 1093339491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:2020

The provider's business location address is:

35 PARK ST # LL-509
NEW HAVEN, CT
ZIP 06519-110
Phone: (203) 200-2100
Fax: (203) 200-2640

The NPI 1093339491 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 enumeration date for this NPI number is 6/1/2020 and was last updated on 7/29/2025.

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
12085R0001XRadiologyRadiation Oncology80998CONNECTICUTYes

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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