Individual provider · Type 1 NPI

Angelo Dewitt Moore, FNP

Registered Nurse · Fort Monmouth, NJ

NPI number 1013099068 Active

Practice location

1075 Stephenson Ave, Patterson Army Health Clinic
Fort Monmouth, NJ 07703-5000

Fax (732) 532-0194

Mailing address

21 Millennium Loop
Staten Island, NY 10309-4337

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X138235 (NC)
Family Nurse Practitioner 363LF0000X648115 (TX)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

11 other providers at this address

About NPI 1013099068

Angelo Dewitt Moore, FNP's National Provider Identifier is 1013099068, issued on Oct 19, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Monmouth, NJ. The record was last updated on Sep 11, 2025.