Individual provider Active NPI

James George Moran, DO

  • Physical Medicine & Rehabilitation Physician
  • Mount Laurel, NJ
National Provider Identifier
1104806504
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB07295400 Issued in NJ
Practice address
4000 Church Rd
Mount Laurel, NJ 08054-1110
Phone
(856) 222-4444
Fax
(856) 222-0049
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MB07295400 NJ Primary

Addresses

Primary practice location

4000 Church Rd
Mount Laurel, NJ 08054-1110

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

102 Heritage Valley Dr Ste C
Sewell, NJ 08080-1764
Phone (856) 222-4444

Other practice location 2

408 Chris Gaupp Dr Ste 250
Galloway, NJ 08205-4490
Phone (856) 222-4444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address James.Moran.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040716001067 DE Practitioner - Interventional Pain ManagementPractitioner - Osteopathic Manipulative Medicine 3577542190
I20250224002260 NJ Practitioner - Physical Medicine and Rehabilitation 3577542190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rowan University School of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

4000 Church Rd
Mount Laurel, NJ 08054-1110
Phone (856) 222-4444

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
96
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB07295400NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine LLC Physical Medicine & Rehabilitation CurrentSince Feb 24, 2025 Accepting new patients
Premier Brain and Spine, LLC Physical Medicine & Rehabilitation CurrentSince Feb 24, 2025 Accepting new patients
First State Orthopaedics, PA Physical Medicine & Rehabilitation Past Accepting new patients
Spine Care Delaware, LLC PastSince Jun 7, 2004 Accepting new patients

Locations

408 Chris Gaupp Dr
Ste 250
Galloway, NJ 08205
Phone (609) 927-8746

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

4000 Church Rd
Mount Laurel, NJ 08054
Phone (856) 281-7500

102 Heritage Valley Dr
Ste C
Sewell, NJ 08080
Phone (856) 589-2447

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Interoperability endpoints

  • Direct secure messaging: james.morando.p1@direct.fsoortho.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1104806504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541110",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Heritage Valley Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080801764",
            "country_code": "US",
            "telephone_number": "856-222-4444",
            "fax_number": "856-740-5363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Chris Gaupp Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082054490",
            "country_code": "US",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-0049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JAMES",
        "middle_name": "GEORGE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB07295400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "James.Moran.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "4000 Church Rd",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080541110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.