Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moore OBGYN LLC

Organization Obstetrics & Gynecology Physician · NPI 1164857512

Moore OBGYN LLC is an Obstetrics & Gynecology Physician in Oxon Hill, Maryland. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6196 Oxon Hill Rd Ste 610
Oxon Hill, MD 20745-3112
Phone: (301) 669-1870
Fax: (301) 669-1873
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1164857512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Javaka Moore — Chief Executive Manager · (301) 669-1870
Other names Moore Obgyn
NPI enumeratedSeptember 4, 2013
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address7610 Pennsylvania Ave, Suite 305, Forestville, MD 20747-4701

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