Active NPI
Mozard Jean-Noel
- Medical Physician Assistant
- Union, NJ
National Provider Identifier
1205573607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 500-PA
- Practice address
- 2228 Balmoral Ave
Union, NJ 07083-5204 - Phone
- (973) 715-3961
- NPI assigned
- May 17, 2022
- Last updated
- May 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 500-PA | PR | Primary |
Addresses
Primary practice location
2228 Balmoral Ave
Union, NJ 07083-5204
Mailing address
2228 Balmoral Ave
Union, NJ 07083-5204
Phone (973) 715-3961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 500-PA | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1205573607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 BALMORAL AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070835204",
"telephone_number": "973-715-3961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2228 BALMORAL AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070835204",
"telephone_number": "973-715-3961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-NOEL",
"first_name": "MOZARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "500-PA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.