Osama M Moshet, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07747900 Issued in NJ

Practice address

Mountainside Hospital
1 Bay Avenue
Montclair, NJ 07042

Phone

(973) 429-6695

NPI assigned

Aug 29, 2005

Last updated

May 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Physician Associates of North Jersey P C

  • Emergency Medicine Physician
  • Summit, NJ
  • NPI 1497783419
  Medicare reassignment NPD
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment NPD
• Hudson Premier Medical PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Secaucus, NJ
  • NPI 1548809221
  Medicare reassignment NPD
• Ahs Hospital Corp

  dba Newton Medical Center

  • General Acute Care Hospital
  • Newton, NJ
  • NPI 1790789212
  NPD (past)
• HMH Hospitals Corporation

  dba Palisades Medical Center

  • General Acute Care Hospital
  • North Bergen, NJ
  • NPI 1730692344
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1225021975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CROASDAILE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052505",
            "telephone_number": "919-425-1564",
            "fax_number": "919-425-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOUNTAINSIDE HOSPITAL",
            "address_2": "1 BAY AVENUE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-429-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHET",
        "first_name": "OSAMA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07747900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056324",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Morel L'Horset, RD, CDCES
• Arquisha Tyesha Moreno
• Emma Morgan
• Nicolette Ann Morgan, M.S., OTR/L
• Marc Morresi, MD
• Edwin Rafael Mosquea Gomez, MD
• Thealisa Moss, LCSW
• Christine Motta, LCSW
• Mountainside Hospital
• Yousef Moussa, DDS

• Pediatrics Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.