Individual provider Active NPI

Anna S Moy, O.D.

  • Optometrist
  • Hillsborough, NJ
National Provider Identifier
1083835177
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00560200 Issued in NJ
Practice address
305 Omni Dr
Hillsborough, NJ 08844-4526
Phone
(201) 865-6865
NPI assigned
May 2, 2007
Last updated
Feb 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00560200 NJ Primary
Optometrist 152W00000X 27OM00044500 NJ
Optometrist 152W00000X TUV005975 NY

Addresses

Primary practice location

305 Omni Dr
Hillsborough, NJ 08844-4526

Mailing address

305 Omni Drive
Hillsborough, NJ 08844
Phone (201) 865-6865

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031103000020 NJ Practitioner - Optometry 5991617698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ VisionairGroup PAC ID 3870820921, 2 clinicians

Practice addresses (Care Compare)

305 Omni Dr
Hillsborough, NJ 08844-4526
Phone (908) 281-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00560200NJMDOptometrist
27OM00044500NJMDOptometrist
TUV005975NYMDOptometrist
005975NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Visionair Optometrist CurrentSince Jan 7, 2020 Accepting new patients
Barbara J Tarbell, OD Optometrist PastSince Jul 30, 2015 Accepting new patients

Locations

305 Omni Dr
Hillsborough, NJ 08844
Phone (610) 653-8849

Organizations & group practices 2

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1083835177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 OMNI DRIVE",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "201-865-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 OMNI DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444526",
            "telephone_number": "201-865-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "ANNA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00560200",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00044500",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.