Individual provider Active NPI

Vance Joshaun Moss, MD

  • Urology Physician
  • Howell, NJ
National Provider Identifier
1184660433
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
231473 Issued in NY
Practice address
2356 US Highway 9
Suite B6
Howell, NJ 07731-4017
Phone
(732) 886-2252
Fax
(732) 886-2260
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 231473 NY Primary
Pediatric Urology Physician 2088P0231X 25MA07903000 NJ

Addresses

Primary practice location

2356 US Highway 9
Suite B6
Howell, NJ 07731-4017

Mailing address

2356 US Highway 9
Suite B6
Howell, NJ 07731-4017
Phone (732) 886-2252

Other identifiers 1

IdentifierTypeStateIssuer
02619285MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070109000471 NJ Practitioner - Urology 2466419320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Atlantic Multi Specialty Surgical Group LLCGroup PAC ID 0345240743, 2 clinicians

Practice addresses (Care Compare)

2356 US Hwy 9
B6
Howell, NJ 07731-4017

2356 US Hwy 9 B6
Howell, NJ 07731-4017
Phone (732) 886-2252

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07903000NJMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Access Network Past Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vmoss425327@direct.ahsys.org
  • Direct secure messaging: vancemoss@nslijmedgr.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1184660433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 US HIGHWAY 9",
            "address_2": "SUITE B6",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314017",
            "telephone_number": "732-886-2252",
            "fax_number": "732-886-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 US HIGHWAY 9",
            "address_2": "SUITE B6",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314017",
            "telephone_number": "732-886-2252",
            "fax_number": "732-886-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "VANCE",
        "middle_name": "JOSHAUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "231473",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NJ",
            "license": "25MA07903000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02619285",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.