Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Oliver Moore, DNP, APN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770068942

Dr. Oliver Moore, DNP, APN, PMHNP-BC is a Nurse Practitioner in Newark, New Jersey. Graduated from Rutgers New Jersey Medical School in 2018, 8 years ago. Practices with Jls Medical PC, a 54-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
8
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2018
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone: (201) 822-1161
Fax: (877) 485-8918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 135 Jackson Rd, Medford, NJ 08055-9231 — (323) 853-8019

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ00872800 (NJ)

Record details

NPI number1770068942
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , APN , PMHNP-BC
Sole proprietorYes
NPI enumeratedOctober 3, 2018
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Jls Medical Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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