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

Jay J Moradia, DPM

Individual provider Podiatrist · NPI 1902339104

Jay J Moradia, DPM is a Podiatry in Saint Louis, Missouri. Qualified in 2017, 9 years ago. Practices with Foot and Ankle Specialists of the Mid-Atlantic LLC, a 154-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2017
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

621 S New Ballas Rd Ste 7005B
Saint Louis, MO 63141-8275
Phone: (314) 991-3668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12303 De Paul Dr, Bridgeton, MO 63044-2512 — (314) 344-6000

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 2020016572 (MO)

Record details

NPI number1902339104
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 5, 2017
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Foot And Ankle Specialists Of The Mid-Atlantic Llc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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