Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104754233 Individual Practitioner Male Practitioner

Michael Victor Andrew Moore

Physician Assistant • Valley Stream, NY

Professional Overview & Biography Verified Profile Summary

Michael Moore is a registered healthcare professional specializing in Physician Assistant in Valley Stream, NY. Practice services are available at 900 FRANKLIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 Franklin Ave

Valley Stream, NY 115802145

Telephone 5163217591
Associated Practice Facility / Clinic
🏢 Franklin Hospital Facility NPI 1528075108

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Valley Stream, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Valley Stream, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003264623

Doctor of Medicine (M.D.)

Bruna Faria Martins

Physician Assistant

NPI 1013690437
Kaitlyn Roeda , PA-C

Physician Assistant

NPI 1013697218

Physician Assistant (Certified)

Jake Bresnihan

Physician Assistant

NPI 1013749753
Dr. Suzette Powell , MD

Radiology - Diagnostic Radiology

NPI 1023045473

Doctor of Medicine (M.D.)

Elisabeth Loccisano , RN, NP

Nurse Practitioner - Family

NPI 1023688173

Registered Nurse, Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 11, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2026

Registered at 900 FRANKLIN AVE, VALLEY STREAM, NY 115802145 (Tel: 5163217591)

📍
Updated Business Mailing Address May 11, 2026

Registered at 10988 203RD ST, SAINT ALBANS, NY 114121335 (Tel: 3474447864)

👤
Provider Name / Credentials Updated May 11, 2026

Recorded as MICHAEL MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2026

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 11, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104754233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2026
Last Update: May 11, 2026
Sole Proprietor: Yes

Mailing Address

10988 203rd St

Saint Albans, NY 114121335

Phone: 3474447864

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.