Moualla Kazan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP017650 Issued in PA

Practice address

511 Vna Rd
East Stroudsburg, PA 18301-8502

Phone

(610) 861-8080

Fax

(570) 369-1112

NPI assigned

Apr 21, 2015

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Central Jersey Urgent CareGroup PAC ID 7618114323, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: moualla.kazan.1@23060.direct.athenahealth.com

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.

• Central Jersey Urgent Care

  • Urgent Care Clinic/Center
  • Ocean, NJ
  • NPI 1316285091
  Medicare reassignment Care Compare group NPD
• Lehigh Valley Physician Group

  dba LVPG Developmental Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
  • NPI 1780155689
  Medicare reassignment Care Compare group
• Hazleton Professional Services

  dba Lehigh Valley Physician Group-Hazleton

  • Internal Medicine Physician
  • Hazleton, PA
  • NPI 1952464638
  Medicare reassignment NPD
• Pennsylvania Urgent Care Centers, PLLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Downingtown, PA
  • NPI 1902128721
  Medicare reassignment NPD
• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• Tower Health Urgent Care, LLC

  • Emergency Medicine Physician
  • Douglassville, PA
  • NPI 1194293647
  Medicare reassignment NPD
• Tri-County Hospitalists, LLC

  • Internal Medicine Physician
  • Phoenixville, PA
  • NPI 1730518564
  Medicare reassignment NPD
• All American Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Allentown, PA
  • NPI 1558917120
  NPD
• Lehigh Valley Physician Group

  dba LVPG Family and Internal Medicine - East Stroudsburg

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1245093368
  NPD
• Lehigh Valley Physician Group

  • Transplant Surgery Physician
  • Allentown, PA
  • NPI 1457309650
  NPD
• Lehigh Valley Physician Group

  • General Practice Physician
  • Hazleton, PA
  • NPI 1942609599
  NPD
• Lehigh Valley Physician Group

  dba LVPG Internal Medicne - Pine Street

  • Internal Medicine Physician
  • Easton, PA
  • NPI 1962174201
  NPD

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

• Lehigh Valley Hospital Pocono

  • General Acute Care Hospital
  • East Stroudsburg, PA
  • NPI 1568459436
  Care Compare affiliation

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1205223948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 VNA RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018502",
            "telephone_number": "610-861-8080",
            "fax_number": "570-369-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7345 Kingsgate Way",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692453",
            "country_code": "US",
            "telephone_number": "513-777-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZAN",
        "first_name": "MOUALLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17252-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kashner, PAC
• Raj L Katara, MD
• Suman Katara, MD
• Harshvir Kaur, RPH
• Shadi Kayed, MD
• KC Neurology & Associates, PC (Pocono Balance and Dizziness Center)
• Brittny Nalini Keefer
• Linda L Keglovits, LPC
• Joshua Aaron Keller
• Roxana Keller

• Family Nurse Practitioner in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.