Individual provider Active NPI

Amanda Danielle Moroz, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Neptune, NJ
National Provider Identifier
1043832520
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01032800 Issued in NJ
Practice address
1945 NJ-33
Neptune, NJ 07752
Phone
(732) 775-5500
NPI assigned
May 7, 2020
Last updated
May 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01032800 NJ Primary

Addresses

Primary practice location

1945 NJ-33
Neptune, NJ 07752

Mailing address

9 Herlihy Dr
Mahwah, NJ 07430-2946
Phone (201) 788-9158

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428000061 NJ Practitioner - Nurse Practitioner 1254749484 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Willow Integrative WellnessGroup PAC ID 0042710279, 2 clinicians
Wayne Behavioral Service LLCGroup PAC ID 8820097561, 34 clinicians

Practice addresses (Care Compare)

216 E Ridgewood Ave
Suite 3B
Ridgewood, NJ 07450-3849
Phone (551) 288-6543

401 Hamburg Tpke
Suite 302
Wayne, NJ 07470-2139
Phone (973) 790-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01032800NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Psychiatric Center CurrentSince Mar 3, 2021 Accepting new patients
Willow Integrative Wellness CurrentSince Jul 1, 2025 Accepting new patients
Wayne Behavioral Service, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

216 E Ridgewood Ave
Ste 3B
Ridgewood, NJ 07450
Phone (551) 288-6543

401 Hamburg Tpke
Ste 302
Wayne, NJ 07470
Phone (973) 790-9222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1043832520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HERLIHY DR",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302946",
            "telephone_number": "201-788-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 NJ-33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07752",
            "telephone_number": "732-775-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROZ",
        "first_name": "AMANDA",
        "middle_name": "DANIELLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01032800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.