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

Mr. Lesly Moran, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1114450731

Mr. Lesly Moran, FNP-BC is a Nurse Practitioner in Bronx, New York. Qualified in 2014, 12 years ago. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2017
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 339341 (NY)

Record details

NPI number1114450731
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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