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KANASHA MOORE
NPI 1245910934
Licensed Practical Nurse in Elmwood Park, NJ

Active since July 19, 2023
100 BROADWAY STE A, ELMWOOD PARK, NJ 07407(201) 749-2045 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kanasha Moore NPPES

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

KANASHA MOORE (NPI 1245910934) is an individual licensed practical nurse in Elmwood Park, New Jersey, licensed in New Jersey (26NP07724100) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1245910934
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKANASHA MOORE
Location Address100 BROADWAY STE AElmwood Park, NJ 07407-3088
Mailing Address100 Broadway Ste AElmwood Park, NJ 07407-3088 · (201) 796-0204
Phone(201) 749-2045
Sole ProprietorNo
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1245910934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NJ · 26NP07724100
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
100 BROADWAY STE A, Elmwood Park, NJ 07407
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Other Providers at the Same Location NPPES 3

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

DR. ANGELA GJORSOSKA PHARMACIST
Pharmacist
100 BROADWAY STE A
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204
HEBAH NAJEH SALAMAH
Pharmacist
100 BROADWAY STE A
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204
AYAT ABASHAR
Pharmacy Technician
100 BROADWAY STE A
ELMWOOD PARK, NJ 07407
Bergen County (201) 796-0204

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 Kanasha Moore's NPI number?

The NPI number for Kanasha Moore is 1245910934. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Kanasha Moore located?

Kanasha Moore practices at 100 Broadway Ste A, Elmwood Park, NJ 07407. The listed phone number is (201) 749-2045.

What is Kanasha Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kanasha Moore was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.