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IVANKA M MORA PA-C
NPI 1619500691
Physician Assistant - Medical in Johnstown, PA

Active since February 18, 2020
1407 EISENHOWER BLVD STE 103B, JOHNSTOWN, PA 15904(240) 480-8236 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivanka M Mora Pa-c NPPES

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

IVANKA M MORA PA-C (NPI 1619500691) is an individual medical provider in Johnstown, Pennsylvania, licensed in Maryland (C0007509) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1619500691
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameIVANKA M MORACredential: PA-C
Location Address1407 EISENHOWER BLVD STE 103BJohnstown, PA 15904-3262
Mailing Address5910 Watch Chain Way Apt 603Columbia, MD 21044-3875
Phone(240) 480-8236
Sole ProprietorNo
Enumeration DateFebruary 18, 2020
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1619500691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in MD · C0007509✔ Licensed in PA · OA006883✔ Licensed in VA · 0110009710
Also ListedPhysician AssistantTaxonomy 363A00000X
1407 EISENHOWER BLVD STE 103B, Johnstown, PA 15904
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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 Ivanka Mora's NPI number?

The NPI number for Ivanka Mora is 1619500691. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Ivanka Mora located?

Ivanka Mora practices at 1407 Eisenhower Blvd Ste 103B, Johnstown, PA 15904. The listed phone number is (240) 480-8236.

What is Ivanka Mora's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Ivanka Mora was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.