Dr. Justin Moy, DNP, CRNP
Nurse Practitioner, Primary Care in Columbia, MD. Individual provider (NPI-1).
NPI number1295563161
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1295563161
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin Moy
- Credential
- DNP, CRNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2024
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | R239415 | MD | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | R239415 | MD |
Practice location
5900 Waterloo Rd Ste 200Columbia, MD 21045-2641
Phone 410-740-2900 · Fax 410-740-2955
Mailing address
7580 Buckingham Blvd Ste 220Hanover, MD 21076-3210
Phone 410-729-5100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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