SHANNON KATHRYN MORAN MD
NPI 1053114306
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 31, 2025PECOS Enrolled
130 E 77TH ST FL 6, NEW YORK, NY 10075(212) 434-4763 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Kathryn Moran Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON KATHRYN MORAN MD (NPI 1053114306) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053114306
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON KATHRYN MORANCredential: MD
Location Address130 E 77TH ST FL 6New York, NY 10075-1851
Mailing Address130 E 77th St Fl 6New York, NY 10075-1851 · (212) 434-4763
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1053114306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

130 E 77TH ST FL 6, New York, NY 10075

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Kathryn Moran Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
Dermatology
130 E 77TH ST FL 6
NEW YORK, NY 10075
Internal Medicine
130 E 77TH ST FL 6
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Moran's NPI number?

The NPI number for Shannon Moran is 1053114306. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Shannon Moran located?

Shannon Moran practices at 130 E 77th St Fl 6, New York, NY 10075. The listed phone number is (212) 434-4763.

What is Shannon Moran's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon Moran enrolled in Medicare?

Yes. Shannon Moran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Moran was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.