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

Edward B Moore Jr.

Individual provider Internal Medicine Physician · NPI 1578803649

Edward B Moore Jr. is an Internal Medicine in Philadelphia, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2013, 13 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
13
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2013
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4190 City Ave
Philadelphia, PA 19131-1626
Phone: (302) 373-7478
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS018101 (PA)

Record details

NPI number1578803649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2013
Last updated in NPPESFebruary 2, 2018

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Philadelphia