Healthcare Provider Details

I. General information

NPI: 1548165822
Provider Name (Legal Business Name): MOORE PSYCHIATRIC CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CANDLEWYCK WAY STE 214
CHERRY HILL NJ
08003-1226
US

IV. Provider business mailing address

103 ROUTE 70 E STE 214
MARLTON NJ
08053-1889
US

V. Phone/Fax

Practice location:
  • Phone: 908-880-2934
  • Fax: 856-874-4395
Mailing address:
  • Phone: 908-880-2934
  • Fax: 856-874-4395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: NINA MOORE
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 646-406-7042