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MOORE WELLNESS CORP.
NPI 1639066459
Family Medicine in Framingham, MA

Active since June 23, 2025CLIA 22D2327253 · Waiver
1661 WORCESTER RD STE 101, FRAMINGHAM, MA 01701(781) 254-8755 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moore Wellness Corp. NPPES

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

MOORE WELLNESS CORP. (NPI 1639066459) is a healthcare organization registered as a family medicine in Framingham, Massachusetts and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Michael David Moore, President, as its authorized official.

NPPES Registry Identity

NPI1639066459
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOORE WELLNESS CORP.
Location Address1661 WORCESTER RD STE 101Framingham, MA 01701-5401
Mailing Address63 Deerfoot RdSouthborough, MA 01772-1524 · (781) 254-8755
Phone(781) 254-8755
Organization SubpartNo
Authorized OfficialMichael David MoorePresident · (781) 254-8755
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1639066459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X
Also ListedRegistered Nurse · Nutrition SupportTaxonomy 163WN1003X
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X
Also ListedNurse PractitionerTaxonomy 363L00000X
1661 WORCESTER RD STE 101, Framingham, MA 01701
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2327253

Moore Wellness Corp Dba Medi-Weightloss · Framingham, MA
Active · expires Jul 19, 2027
CLIA Number22D2327253
Laboratory TypePractitioner Other
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorIbrahim Eid
Laboratory Phone(781) 254-8755
Laboratory LocationMoore Wellness Corp Dba Medi-Weightloss1661 Worcester Road, Suite 101, Framingham, MA 01701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TINA M DELOUCHRY NP
Nurse Practitioner
1661 WORCESTER RD STE 101
FRAMINGHAM, MA 01701
Middlesex County (508) 834-4441

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 Moore Wellness Corp.'s NPI number?

The NPI number for Moore Wellness Corp. is 1639066459. It was assigned to this organization in the NPPES registry on June 23, 2025.

Where is Moore Wellness Corp. located?

Moore Wellness Corp. is located at 1661 Worcester Rd Ste 101, Framingham, MA 01701. The listed phone number is (781) 254-8755.

What is Moore Wellness Corp.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Moore Wellness Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2327253) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moore Wellness Corp. was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.