Active NPI
Nancy J Moontasri MD LLC
- Orthopaedic Surgery Physician
- Ridgewood, NJ
National Provider Identifier
1124931472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- NANCY J MOONTASRI MD LLC
- Practice address
- 106 Prospect St Ste 2
Ridgewood, NJ 07450-4433 - Phone
- (551) 278-9776
- Fax
- (551) 300-1306
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- 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. Nancy J Moontasri, MD
- Title
- Sole Member/Owner
- Phone
- (917) 328-2401
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
106 Prospect St Ste 2
Ridgewood, NJ 07450-4433
Mailing address
1 Mars CT Ste 1
Boonton TWP, NJ 07005-2422
Phone (917) 328-2401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Ridgewood, NJ
- NPI 1114378650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1124931472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MARS CT STE 1",
"city": "BOONTON TWP",
"state": "NJ",
"postal_code": "070052422",
"telephone_number": "917-328-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PROSPECT ST STE 2",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504433",
"telephone_number": "551-278-9776",
"fax_number": "551-300-1306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY J MOONTASRI MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "MOONTASRI",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SOLE MEMBER/OWNER",
"authorized_official_telephone_number": "917-328-2401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.