Dr. Oliver Moore, DNP, APN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Newark, NJ. Individual provider (NPI-1).
NPI number1770068942
StatusActive
Last updated in NPPESJun 5, 2026
Details
- NPI
- 1770068942
- Entity type
- Individual (NPI-1)
- Name
- Dr. Oliver Moore
- Credential
- DNP, APN, PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2018
- Certification date
- Jun 5, 2026
- Last updated
- Jun 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 26NJ00872800 | NJ | Yes |
Practice location
550 Broad St Ste 606Newark, NJ 07102-4537
Phone 201-822-1161 · Fax 877-485-8918
Mailing address
532 Marlton Pike W # 407Marlton, NJ 08053-2075
Phone 323-853-8019
Other practice locations
135 Jackson Rd
Medford, NJ 08055-9231
Medford, NJ 08055-9231
Phone 323-853-8019
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