Doctor profile · Federal record

Dr. Kerry Moore, M.D.

Pediatrics Physician · Port Jefferson Station, NY

  • NPI 1891973426
  • 18 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
815 Hallock Ave, Suite A
Port Jefferson Station, NY 117761220
(631) 331-7267
fax (631) 331-7267
Mailing address
52 Annandale RD
Stony Brook, NY 117902410

Credentials & registration

NPPES · NUCC
NPI registered
February 2008 — 18 yrs on file
Specialty taxonomy
208000000X — NUCC code
State license (1)
New York #183552
Medicaid
NY #01500581

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1891973426. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$125
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Regeneron Healthcare Solutions, INC. 1 $124.77

By nature of payment

Food and Beverage
$125

Frequently asked questions

Auto-generated from federal data
What is Dr. Kerry Moore's medical specialty?
Dr. Kerry Moore practices Pediatrics Physician in Port Jefferson Station, NY.
Where does Dr. Kerry Moore practice?
Dr. Kerry Moore practices at 815 Hallock Ave, Port Jefferson Station, NY 117761220. Office phone: 6313317267.
What is Dr. Kerry Moore's NPI?
Dr. Kerry Moore's National Provider Identifier (NPI) is 1891973426, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Jul 16, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›