BRUCE KHALIL MOORE EMT NPI 1124451257

NPI Information

  • NPI: 1124451257
  • Provider Name: BRUCE KHALIL MOORE, EMT
  • Classification: Ambulance - 341600000X
  • Entity Type: Individual
  • Address: 1101 SALEM AVE
    HILLSIDE, NJ
    ZIP 07205
  • Phone: (973) 558-6942

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NPI Details

Bruce Khalil Moore, EMT is an ambulance in Hillside, NJ. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). Bruce Khalil Moore, EMT NPI is 1124451257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1101 SALEM AVE
HILLSIDE, NJ
ZIP 07205-834
Phone: (973) 558-6942

The enumeration date for this NPI number is 8/13/2013 and was last updated on 8/13/2013.

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
1341600000XAmbulance2012045NEW JERSEYYes

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

NPI Synchronization or Removal

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