Individual provider Active NPI

Moein Faghih Vaseghi, M.D

  • Nuclear Cardiology Physician
  • Westfield, NJ
National Provider Identifier
1003892779
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
25MA07840500 Issued in NJ
Practice address
104 N Euclid Ave
Westfield, NJ 07090-2427
Phone
(908) 889-4600
Fax
(908) 889-5527
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 25MA07840500 NJ Primary

Addresses

Primary practice location

104 N Euclid Ave
Westfield, NJ 07090-2427

Mailing address

24 Sentinel Dr
24 Sentinel Dr
Basking Ridge, NJ 07920-4233
Phone (908) 889-4600

Other identifiers 2

IdentifierTypeStateIssuer
0076848MedicaidNJ
D08660300OtherNJCDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000739 NJ Practitioner - General PracticePractitioner - Nuclear Medicine 3870520109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Nuclear Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

282 S Ave
Fanwood, NJ 07023-1346
Phone (908) 889-4600

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Cranford, NJ, CCN 317020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07840500NJMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moein F. Vaseghi, MD, PA CurrentSince Jul 1, 2005 Accepting new patients
Suburban Medical Group, P,a. Past Accepting new patients
Teaneck Radiology Center LLC PastSince Sep 1, 2009 Accepting new patients

Locations

104 N Euclid Ave
Westfield, NJ 07090
Phone (908) 232-8416

Interoperability endpoints

  • Direct secure messaging: dr.moein.vaseghi@direct.digidms.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1003892779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SENTINEL DR",
            "address_2": "24 SENTINEL DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079204233",
            "telephone_number": "908-889-4600",
            "fax_number": "908-889-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902427",
            "telephone_number": "908-889-4600",
            "fax_number": "908-889-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGHIH VASEGHI",
        "first_name": "MOEIN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA07840500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076848",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D08660300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.