NPIMap

Individual provider Active NPI

Ali R Moosvi, M.D.

  • Cardiovascular Disease Physician
  • Brick, NJ
National Provider Identifier
1093796948
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05586800 Issued in NJ
Practice address
1640 Highway 88
Suite 201
Brick, NJ 08724-3068
Phone
(732) 840-1900
Fax
(732) 840-0355
NPI assigned
Nov 8, 2005
Last updated
Feb 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA05586800 NJ Primary

Addresses

Primary practice location

1640 Highway 88
Suite 201
Brick, NJ 08724-3068

Mailing address

1640 Highway 88
Suite 201
Brick, NJ 08724-3068
Phone (732) 840-1900

Other identifiers 1

IdentifierTypeStateIssuer
3836304MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922000139 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Cardiac Surgery 6709854326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Surgery, Nuclear Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Cardiology Consultants LLCGroup PAC ID 0547239717, 4 clinicians
Meridian Cardiovascular Interpretive Services PCGroup PAC ID 8527012236, 60 clinicians

Practice addresses (Care Compare)

1640 Hwy 88
Suite 201
Brick, NJ 08724-3068
Phone 7328401900300

1945 Route 33
Neptune, NJ 07754-4859

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-3370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Cardiovascular Interpretive Services PC Cardiovascular Disease CurrentSince Jan 1, 2005 Accepting new patients
Andrew L. Simon M.D., F.a.C.S, P.a. PastSince Oct 1, 2021 Accepting new patients
Shore Health Group, PC Cardiovascular Disease Past Accepting new patients

Locations

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJEBAA/Endpoint/HJEBAA

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1093796948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 HIGHWAY 88",
            "address_2": "SUITE 201",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243068",
            "telephone_number": "732-840-1900",
            "fax_number": "732-840-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 HIGHWAY 88",
            "address_2": "SUITE 201",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243068",
            "telephone_number": "732-840-1900",
            "fax_number": "732-840-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSVI",
        "first_name": "ALI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05586800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3836304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.