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JOHN MOODY PAC
NPI 1487159059
Physician Assistant in Brooklyn, NY

Active since March 27, 2018
3226 KINGS HWY, BROOKLYN, NY 11234(718) 252-9100(718) 252-9401 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2020, Mar 27, 2018 (2 updates tracked since 2018).

About John Moody Pac NPPES

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

JOHN MOODY PAC (NPI 1487159059) is an individual physician assistant in Brooklyn, New York, licensed in New York (023032) and active in the NPI registry since March 2018. He maintains a secondary practice location in Aventura.

NPPES Registry Identity

NPI1487159059
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN MOODYCredential: PAC
Location Address3226 KINGS HWYBrooklyn, NY 11234-2655
Mailing Address3226 Kings HwyBrooklyn, NY 11234-2655 · (718) 252-9100 · Fax (718) 252-9401
Phone(718) 252-9100
Fax(718) 252-9401
Sole ProprietorYes
Enumeration DateMarch 27, 2018
Last NPPES UpdateAugust 12, 20202 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1487159059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 023032
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License PA9111037 (FL)
3226 KINGS HWY, Brooklyn, NY 11234
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Secondary Practice Location 1

Location 121000 NE 28th Ave Ste 104Aventura, FL 33180-1421 · Phone (305) 937-1999 · Fax (786) 787-2596

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MR. YITZCHAK SHOLLAR PA-C
Physical Medicine & Rehabilitation (Sports Medicine)
3226 KINGS HWY
BROOKLYN, NY 11234
Kings County (718) 252-9100
AMABEL M CUEVAS PT
Physical Therapist
3226 KINGS HWY
BROOKLYN, NY 11234
Kings County (718) 252-9100
CAMILO NACATAB PHYSICAL THERAPIST
Physical Therapist
3226 KINGS HWY
BROOKLYN, NY 11234
Kings County (718) 252-9100

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 John Moody's NPI number?

The NPI number for John Moody is 1487159059. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is John Moody located?

John Moody practices at 3226 Kings Hwy, Brooklyn, NY 11234. The listed phone number is (718) 252-9100.

What is John Moody's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for John Moody was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.