Moore, Oliver

Moore, Oliver is an sole proprietor health care provider with primary practice located at 550 Broad St Ste 606 , Newark NJ 07102-4537. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Moore, Oliver can be contacted via phone (201) 822-1161.

Contact Information

Primary practice address
550 Broad St Ste 606 Newark NJ 07102-4537
Phone: (201) 822-1161
Fax: (877) 485-8918
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00872800 New Jersey

Profile Details

NPI number 1770068942
LBN Legal business name Moore, Oliver
Credentials DNP, APN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2018
Last updated Jun 5th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770068942 NPPES
New Jersey MEDICAID 0813451

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