Andrea C Moore is a Physician Assistant practicing in Phillipsburg, New Jersey. The National Provider Identifier (NPI) is #1225393564, which was assigned on July 12, 2012, and the registration record was last updated on November 21, 2025. The practitioner's main practice location is at 755 Memorial Pkwy Ste 201, Phillipsburg, NJ 08865-2748; the contact telephone number is 9088478884, and the fax number is 8332049604. The primary taxonomy of Andrea C Moore is Physician Assistant (363A00000X). Andrea C Moore is licensed to practice in the state of Pennsylvania (#MA05528).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| NPI | 1225393564 |
| Entity Type | Individual |
| Provider Name | MS. ANDREA C MOORE |
| Other Name |
ANDREA C DURYEA (Former Name) |
| Gender | Female |
| Credential | PA-C |
| Practice Address |
755 Memorial Pkwy Ste 201 Phillipsburg NJ 08865-2748 |
| Practice Telephone | 9088478884 |
| Practice Fax Number | 8332049604 |
| Mailing Address |
755 Memorial Pkwy Ste 201 Phillipsburg NJ 08865-2748 |
| Mailing Telephone | 9088478884 |
| Mailing Fax Number | 8332049604 |
| Certification Date | 2025-11-21 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2025-11-21 |
| Is Sole Proprietor | N |
| PAC ID |
6608022181 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | ANDREA C MOORE |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Organization Legal Name | ST LUKES WARREN PHYSICIAN GROUP PC |
| Address |
315 State Route 31 S Washington NJ 07882-4069 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA05528 | PA |
| Address | Telephone | Fax |
|---|---|---|
| 250 S 21st St, Easton, PA 180423851 | 9087638144 |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Dresden Ansley Dilts | 1935 Medical District Dr, Dallas, TX 75235-7701 | Physician Assistant | 2026-05-08 |
| Paige Elizabeth Harris | 14797 Dix Toledo Rd, Southgate, MI 48195-2507 | Physician Assistant | 2026-05-08 |
| Francesca V Madera | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | Physician Assistant | 2026-05-09 |
| Shardae Blandin | 1731 E 120th St, Los Angeles, CA 90059-3051 | Physician Assistant | 2026-05-09 |
| Taylor King · Taylor Wolfe | 4401 N Himes Ave, Tampa, FL 33614-7097 | Physician Assistant | 2026-05-09 |
| Kimberly Descalso | 11795 Education St Ste 222, Auburn, CA 95602-2469 | Physician Assistant | 2026-05-09 |
| Lisa Michelle Imhof | 6501 Deerview Dr, Raleigh, NC 27606-8802 | Physician Assistant | 2026-05-09 |
| Zain Raida Ghul | 7115 Leesburg Pike, Falls Church, VA 22043-2367 | Physician Assistant | 2026-05-09 |
| Bumwoo Nam · Danny Nam | 102 Mary & Carl Ice Hall 1310 Research Park Dr, Manhattan, KS 66502 | Physician Assistant | 2026-05-08 |
| Deaconess Speciality Physicians, Inc | 1004 E Illinois St, Petersburg, IN 47567-8068 | Physician Assistant | 2026-05-08 |
| Find all providers with the same taxonomy | |||
| Street Address |
755 MEMORIAL PKWY STE 201 |
| City | PHILLIPSBURG |
| State | NJ |
| Zip Code | 08865-2748 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| St. Luke's Warren Physician Group, PC | 755 Memorial Pkwy Ste 201, Phillipsburg, NJ 08865-2748 | Neurological Surgery Physician | 2017-06-27 |
| Ryan Mark O'Donnell | 755 Memorial Pkwy Ste 201, Phillipsburg, NJ 08865-2748 | Orthopaedic Surgery Physician | 2016-06-02 |
| Jay P Patel | 755 Memorial Pkwy Ste 201, Phillipsburg, NJ 08865-2748 | Orthopaedic Surgery Physician | 2019-03-24 |
| Adam D Sadler | 755 Memorial Pkwy Ste 201, Phillipsburg, NJ 08865-2748 | Orthopaedic Surgery Physician | 2010-11-23 |
| Melissa Grillo | 755 Memorial Pkwy Ste 201, Phillipsburg, NJ 08865-2748 | Nurse Practitioner | 2022-04-22 |
| James William Mahon | 755 Memorial Pkwy Ste 201, Phillipsburg, NJ 08865-2748 | Neurology Physical Therapist | 2025-11-06 |
| St. Luke's Warren Physician Group, PC | 755 Memorial Pkwy Ste 201, Phillipsburg, NJ 08865 | Rheumatology Physician | 2018-07-12 |
| St. Luke's Warren Physician Group, PC | 755 Memorial Pkwy Ste 201, Phillipsburg, NJ 08865-2748 | Internal Medicine Physician | 2025-08-25 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Marita Ann John | 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865-2748 | Student in an Organized Health Care Education/Training Program | 2025-04-03 |
| Rebecca Fang | 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865-2748 | Student in an Organized Health Care Education/Training Program | 2024-04-08 |
| Ashley Jean Marie Rivera | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | Pediatric Physical Therapist | 2025-06-21 |
| Kiyosha Watts | 755 Memorial Pkwy Unit 300, Phillipsburg, NJ 08865-2748 | Student in an Organized Health Care Education/Training Program | 2007-02-09 |
| Isaiah Ogba Junior Eke | 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865-2748 | Student in an Organized Health Care Education/Training Program | 2025-05-13 |
| Quincy Robert Herdlein | 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865-2748 | Student in an Organized Health Care Education/Training Program | 2025-04-01 |
| Stephen Willis | 755 Memorial Pkwy Bldg 100, Phillipsburg, NJ 08865-2748 | Gastroenterology Physician | 2006-12-12 |
| Brianna Joy Guarino | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | Physical Therapist | 2024-05-22 |
| Valerie Adanna Onyeukwu | 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865-2748 | Student in an Organized Health Care Education/Training Program | 2024-04-03 |
| Calvin Floyd | 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865-2748 | Student in an Organized Health Care Education/Training Program | 2025-06-10 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Future Project | 469 South Main St, Phillipsburg, NJ 08865 | Developmentally Disabled Services Day Training Agency | 2016-03-31 |
| Essgee Phillipsburg Corp | 96 Baltimore Street, Phillipsburg, NJ 08865 | Long Term Care Pharmacy | 2024-05-23 |
| Unity for Developmental Disabilities | 212 Summit Ave., Phillipsburg, NJ 08865 | Case Management Agency | 2017-08-28 |
| Joey Neely | 427-429 S Main St, Phillipsburg, NJ 08865 | Addiction (Substance Use Disorder) Counselor | 2025-06-24 |
| Counseling for Kids, LLC | 865 Us Highway 22, Phillipsburg, NJ 08865 | Community/Behavioral Health Agency | 2015-01-08 |
| William L. Schumm, LLC | 902 Coventry Drive, Phillipsburg, NJ 08865 | In Home Supportive Care Agency | 2010-04-15 |
| Kirsten Wurzburg | 200 Strykers Rd., Suite 2, Phillipsburg, NJ 08865 | Veterinarian | 2010-11-12 |
| Mariana Cristina De Martinez | 865 Us Hwy 22 E, Phillipsburg, NJ 08865 | Professional Counselor | 2018-01-24 |
| Wellfit Chiropractic | 1211b New Brunswick Ave, Phillipsburg, NJ 08865 | Chiropractor | 2010-08-25 |
| John Anthony Matlock | 291 Pickford Avenue, Phillipsburg, NJ 08865 | Chiropractor | 2010-04-28 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Andrea Osborne · Andrea Faulkner | 3 Medical Dr, Chillicothe, OH 45601-8603 | Case Manager/Care Coordinator | 2026-04-20 |
| Andrea Angeles Espinosa | 550 W Sperry Street, Heppner, OR 97836 | Mental Health Counselor | 2026-02-17 |
| Andrea Elida Niboli · Andrea Christiansen | 2865 Logan Ave Unit 1516, San Diego, CA 92113-2411 | Student in an Organized Health Care Education/Training Program | 2026-03-27 |
| Andrea Lee Bleskey · Andrea Lee Eberspacher | 17031 Depaul St Ne, Columbus, MN 55025-2833 | Speech-Language Pathologist | 2026-02-26 |
| Andrea Gabriela Vasser · Andrea Gabreila Sepulveda | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | Student in an Organized Health Care Education/Training Program | 2026-03-23 |
| Andrea Joy Kvemshagen Johnson | 7248 S Land Park Dr, Sacramento, CA 95831-3660 | Occupational Therapist | 2026-03-26 |
| Andrea L Brown · Andrea Lynn Gooden | 1205 Elowen Way, Green, OH 44685-0198 | Gerontology Registered Nurse | 2026-03-25 |
| Andrea Schneider · Andrea Reinig | 3425 S Clarkson St, Englewood, CO 80113-2899 | Pharmacist | 2026-03-30 |
| Andrea He | 8900 Van Wyck Expy, Richmond Hill, NY 11418-2897 | Student in an Organized Health Care Education/Training Program | 2026-04-20 |
| Andrea M Blair · Andrea Mccoy | 5665 New Forsyth Rd, Macon, GA 31210-5770 | Athletic Trainer | 2026-03-17 |
Do you have more infomration about Andrea C Moore? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |