Jurgen A Moore, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

25MG00096100 Issued in NJ

Practice address

259 Sicklerville Rd
Williamstown, NJ 08094-1501

Phone

(856) 629-0776

Fax

(856) 629-5576

NPI assigned

Mar 8, 2011

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1063710598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 SICKLERVILLE RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941501",
            "telephone_number": "856-629-0776",
            "fax_number": "856-629-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 SICKLERVILLE RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941501",
            "telephone_number": "856-629-0776",
            "fax_number": "856-629-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JURGEN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": "25MG00096100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe Township Public Schools
• Amber P Monserrate, LPC
• Gregory Monzo
• Shontae Moody, PA
• Doreatha Moore, CMA
• Mark C Moorman Jr.
• Rewan Morssi
• Robert H Moss, DPM
• Corinne Kayla Murphy
• Myhealthtrack Clinical Services of NJ PC

• Hearing Instrument Specialist in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Hearing Instrument Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.