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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MOIRA JANE CARROLL
NPI 1760386478
Physician Assistant - Surgical in Philadelphia, PA

Active since October 06, 2026
1 CONVENTION AVE, PHILADELPHIA, PA 19104(215) 662-4004 Get Directions Write a Review

NPPES record added: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Moira Jane Carroll NPPES

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

MOIRA JANE CARROLL (NPI 1760386478) is an individual surgical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA068269) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1760386478
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMOIRA JANE CARROLL
Location Address1 CONVENTION AVEPhiladelphia, PA 19104-4311
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-4400
Phone(215) 662-4004
Sole ProprietorNo
Enumeration DateOctober 6, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1760386478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MA068269
1 CONVENTION AVE, Philadelphia, PA 19104
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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.

TIFFANY GARDNER
Pharmacist
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 592-2401
TRISTAN S BOYER RN
Registered Nurse (Critical Care Medicine)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
AMANDA LEE MCFALL PA-C
Physician Assistant (Medical)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (302) 357-0138
MORGAN BOSAK
Pharmacist (Critical Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 327-5986
DR. SIDNEE NICHOLLS
Pharmacist
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 862-1600
SARAH KATHERINE FIORDALISO
Registered Nurse
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 862-3000
PATRICK MCMICHAEL
Registered Nurse (Neuroscience)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 250-2082
MEGAN COLLEEN FITZSIMMONS CRNP
Nurse Practitioner (Acute Care)
1 CONVENTION AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000

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 Moira Carroll's NPI number?

The NPI number for Moira Carroll is 1760386478. It was assigned to this individual provider in the NPPES registry on October 6, 2026.

Where is Moira Carroll located?

Moira Carroll practices at 1 Convention Ave, Philadelphia, PA 19104. The listed phone number is (215) 662-4004.

What is Moira Carroll's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Moira Carroll was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.