THOMAS A. MOULTON MD – NPI #1215013156
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

THOMAS MOULTON is a physician located in BRONX, NY. NPPES has assigned the NPI number 1215013156 to THOMAS MOULTON on October 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was previously updated about 16 years ago on Mar 30, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THOMAS MOULTON below.

NPI Profile for
THOMAS A. MOULTON

NPI Number
1215013156
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THOMAS A. MOULTON
Credentials
MD
Primary location
2432 GRAND CONCOURSE
POE CLINIC
BRONX, NY 10458
Phone: (718) 579-7337 Fax: (718) 817-7904
Mailing address
2222 28TH ST
ASTORIA, NY 11105-2702
Phone: (718) 721-2780 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for THOMAS MOULTON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01232099
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
NY 168593

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.