Look up the most recent NPI and PECOS records

Lesly Moran

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2015 Grand Concourse, Bronx, NY 10453-4303

PECOS Enrollment

Based on the most recent information from CMS, provider Lesly Moran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1114450731
Provider Type
Individual
Full Name
Moran, Lesly
Title
Mr.
Credential
FNP-BC

Gender
Male
Sole Proprietor
No
Enumeration Date
4/10/2017
Last Updated
2/24/2020

Contact Information

Practice Location

2015 Grand Concourse, Bronx, NY 10453-4303

(718) 299-7295

(718) 299-6797

Mailing Location

1434 Williamsbridge Rd Fl 2, Bronx, NY 10461-2507

(718) 618-0401

(347) 479-1303

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 339341 New York

Lesly Moran

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Cherian, Jessey P

Herrera, Yoandri

Joseph, Sneha

Smith, Ryanna

Ivey, Grace

Pulido-Rosado, Melanie Meneses

Kipiani, Khatuna

Rivera, Desiree

Speck Iglesias, Jose

Yerra, Anuradha