Active NPI
Viqar H Moosavi, DMD
- Dentist
- Lumberton, NJ
National Provider Identifier
1003394453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02722800
- Practice address
- 1636 Route 38 Ste 21
Lumberton, NJ 08048-2987 - Phone
- (609) 914-5050
- NPI assigned
- Jul 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02722800 | NJ | |
| Dentist | 122300000X | 22DI02722800 | NJ | Primary |
Addresses
Primary practice location
1636 Route 38 Ste 21
Lumberton, NJ 08048-2987
Mailing address
110 Tammy LN
Mickleton, NJ 08056-1024
Phone (609) 332-8609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02722800 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Associates PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Lumberton, NJ
- NPI 1932288743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532822400000",
"number": "1003394453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 TAMMY LN",
"city": "MICKLETON",
"state": "NJ",
"postal_code": "080561024",
"telephone_number": "609-332-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 ROUTE 38 STE 21",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080482987",
"telephone_number": "609-914-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOSAVI",
"first_name": "VIQAR",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-29",
"last_updated": "2018-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02722800",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02722800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NJ
- Linda B Mesinger, RN, MSN, APN
- Raymond Charles Meyers, D.S.W.
- Eric Miller, MD
- Melony Jaime Mody, MD
- Dawn Michelle Moleins
- Matthew Morse, LSW
- Moss Achievement Center, LLC
- Mount Holly Operator LLC (Mount Holly Rehabilitation and Healthcare Center)
- Mt Holly Eye Physicians & Surgeons
- Mt Holly Eye Physicians & Surgeons Professional Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.