DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN MOODY, PAC

Active Sole Proprietor

JOHN MOODY, PAC is a Physician Assistant healthcare provider located in BROOKLYN, New York. NPI 1487159059 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BROOKLYN, NY

Registration Details

NPI Number
1487159059
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2018 (8.3832533235591 yrs)
Last Updated
Aug 12, 2020
Licenses
PA9111037 (FL)
023032 (NY)
Sole Proprietor
Yes

Practice Information

Address
3226 KINGS HWY
BROOKLYN, NY, 112342655
Browse NY providers · Browse ZIP 11234
Phone
7182529100
Fax
7182529401
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in BROOKLYN, NY

Name Credential NPI
MS. JENNIFER HILL PA 1124022520
MS. RITA SACHS PA 1235127952
MR. TZVI WARSHAW P.A. 1578545489
MR. SANEESE STEPHEN RPA-C 1477537025
MS. DONNA CATHERINE MEHALESKO RPA-C 1811975790
MISS MANJU PAMELA RAJAN RPA-C 1275511065
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.