MEDICARE: JOSEPH JOHN MOREIRA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	ME124820	FL
2	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	R8061	TX
3	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	053785	CT
4	2084N0400X	Neurology Physician	188071	NY

General Provider Information

NPI Number	:	1316055999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH JOHN MOREIRA MD

Provider Business Mailing Address
First Line	:	50 THE INTERVALE
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-1909
Country	:	US
Telephone Number	:	917-273-4092
Fax Number	:

Provider Business Practice Location Address
First Line	:	13572 BRAEMAR DR
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-5130
Country	:	US
Telephone Number	:	866-516-2694
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	01/27/2026

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