Minerva Maria Moran

Dentist · Jackson Heights, NY

Individual Active NPI

NPI number 1972350395

Practice location

9033 Elmhurst Ave Fl 3
Jackson Heights, NY 11372-7935
Phone
(718) 505-6200

Open in Google Maps

NPI record

NPI
1972350395
Entity type
Individual (Type 1)
Enumeration date
May 2, 2024
Last updated
September 13, 2025
Certified
September 13, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 065023 NY

Mailing address

1001 Shadow Ln
Las Vegas, NV 89106-4124
Phone
(702) 583-2773

Other practice locations (1)

  • 5645 Main St, Flushing, NY 11355-5045 · (718) 357-0194

About Minerva Moran

Minerva Maria Moran is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 9033 Elmhurst Ave Fl 3, Jackson Heights, NY 11372-7935. The NPI number 1972350395 was assigned on May 2, 2024 and the record was last updated on September 13, 2025.

Minerva Moran lists a license in the registry: #065023 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Minerva Maria Moran?

The NPI number is 1972350395.

What is the phone number of Minerva Moran?

The phone number listed for the practice location is (718) 505-6200.

Where is Minerva Moran located?

9033 Elmhurst Ave Fl 3, Jackson Heights, NY 11372-7935.

What is the taxonomy code for Minerva Moran?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Jackson Heights

All Dentist providers in Jackson Heights, NY →