MR. JEREMIAH MORENO PA-C NPI 1457957953

NPI Information

NPI: 1457957953
Provider Name: MR. JEREMIAH MORENO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: UNM HOSPITAL

PECOS Registration: Yes

Address:
1104-1 MEDICAL ARTS NE
BUILDING 4, SUITE B
ALBUQUERQUE, NM
ZIP 87102
Phone: (227) 227-2505
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MR. Jeremiah Moreno, PA-C is a medical physician assistant in Albuquerque, NM with 4 years of experience. MR. Jeremiah Moreno, PA-C NPI is 1457957953. 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:

1104-1 MEDICAL ARTS NE
BUILDING 4, SUITE B
ALBUQUERQUE, NM
ZIP 87102
Phone: (227) 227-2505

The NPI 1457957953 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 12/9/2020 and was last updated on 1/19/2021.

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	PA2020-0108	NEW MEXICO	Yes

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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