Active NPI
Stem-Regen Medical Wellness & Rehabilitation PC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Paramus, NJ
National Provider Identifier
1093581902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- STEM-REGEN MEDICAL WELLNESS & REHABILITATION PC
- Practice address
- 66 N Rte 17 Ste 150
Paramus, NJ 07652-2742 - Phone
- (201) 368-2222
- Fax
- (201) 368-2223
- NPI assigned
- Dec 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Moalemi, MD
- Title
- President
- Phone
- (201) 368-2222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary |
Addresses
Primary practice location
66 N Rte 17 Ste 150
Paramus, NJ 07652-2742
Mailing address
PO Box 234696
Great Neck, NY 11023-4696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240201001564 | NJ | Part B Supplier - Clinic/Group Practice | 5597118943 |
Receives reassigned benefits from 4 practitioners Practice locations: Paramus, NJ |
National Provider Directory
National Provider DirectoryLocations
66 N State Rt 17
Ste 150
Paramus, NJ 07652
Phone (201) 368-2222
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1598038978
NJ
-
- Massage Therapist
- Paramus, NJ
- NPI 1659678951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701388800000",
"number": "1093581902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 234696",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110234696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 N RTE 17 STE 150",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522742",
"telephone_number": "201-368-2222",
"fax_number": "201-368-2223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEM-REGEN MEDICAL WELLNESS & REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-01",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A",
"authorized_official_last_name": "MOALEMI",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-368-2222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.