Organization Active NPI

Moein F. Vaseghi, MD, PA

  • Medical Specialty Clinic/Center
  • Westfield, NJ
National Provider Identifier
1053501460
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MA07840500 Issued in NJ
Legal business name
MOEIN F. VASEGHI, MD, PA
Practice address
104 N Euclid Ave
Westfield, NJ 07090-2427
Phone
(908) 889-4600
Fax
(908) 889-5527
NPI assigned
Jul 31, 2007
Organization subpart
No

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

Authorized official

Name
Dr. Moein F Vaseghi, MD
Title
Director
Phone
(646) 662-1912

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25MA07840500 NJ Primary
Primary Care Clinic/Center 261QP2300X 25MA07840500 NJ

Addresses

Primary practice location

104 N Euclid Ave
Westfield, NJ 07090-2427

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000006 NJ Part B Supplier - Clinic/Group Practice 8729173091 Receives reassigned benefits from 1 practitioner
Practice locations: Fanwood, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1053501460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "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": {
        "organization_name": "MOEIN F. VASEGHI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "VASEGHI",
        "authorized_official_first_name": "MOEIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-662-1912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA07840500",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07840500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.