CAROLINA MOOSE NP
NPI 1336963453
Nurse Practitioner - Neonatal, Critical Care in New York, NY
About Carolina Moose Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINA MOOSE NP (NPI 1336963453) is an individual neonatal, critical care provider in New York, New York, licensed in New York (350596) and active in the NPI registry since November 2024.
NPPES Registry Identity
Specialties & Licenses
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Carolina Moose's NPI number?
The NPI number for Carolina Moose is 1336963453. It was assigned to this individual provider in the NPPES registry on November 14, 2024.
Where is Carolina Moose located?
Carolina Moose practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 342-8600.
What is Carolina Moose's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
When was this NPI record last updated?
The NPPES record for Carolina Moose was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Carolina Moose, NP · NPI 1336963453
Neonatal, Critical Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since November 14, 2024.
## Identity
- **NPI:** 1336963453 (Entity type: Individual)
- **Enumerated:** November 14, 2024
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** 350596 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3959 BROADWAY, New York, NY 10032-1559
- **Phone:** (212) 342-8600
## Record status
- **NPPES last updated:** November 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1336963453) · Data from the CMS NPPES public registry.