Individual provider Active NPI

Rana Moses, DPM

  • Podiatrist
  • Cliffside Park, NJ
National Provider Identifier
1265093504
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00368300 Issued in NJ
Practice address
542 Anderson Ave
Cliffside Park, NJ 07010-1721
Phone
(201) 943-7977
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 25MD00368300 NJ Primary

Addresses

Primary practice location

542 Anderson Ave
Cliffside Park, NJ 07010-1721

Mailing address

542 Anderson Ave
Cliffside Park, NJ 07010-1721
Phone (201) 943-7977

Other practice location 1

4 Hunter St # 201
Lodi, NJ 07644-1608
Phone (862) 233-8438

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220607002828 NJ Practitioner - Podiatry 2466830260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Kenya LazovikGroup PAC ID 5395088694, 4 clinicians
Complete Foot and Ankle Specialty LLCGroup PAC ID 2062827231, 4 clinicians

Practice addresses (Care Compare)

663 Palisade Ave
Suite 204
Cliffside Park, NJ 07010-3012
Phone (201) 943-7977

G12 Brier Hill CT
East Brunswick, NJ 08816-3338
Phone (732) 432-7250

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions101
Removal of nail tissue1055
Removal or shaving of skin growth383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00368300NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince May 10, 2025 Accepting new patients
Complete Foot and Ankle Specialty LLC Podiatrist CurrentSince Nov 1, 2025 Accepting new patients
Complete Foot and Ankle Specialty LLC Podiatrist CurrentSince Nov 1, 2025 Accepting new patients
Dr Kenya Lazovik CurrentSince May 15, 2022 Accepting new patients
Dr Kenya Lazovik Podiatrist CurrentSince May 15, 2022 Accepting new patients

Locations

663 Palisade Ave
Ste 204
Cliffside Park, NJ 07010
Phone (201) 943-7977

542 Anderson Ave
Cliffside Pk, NJ 07010
Phone (201) 943-7977

G12 Brier Hill Ct
East Brunswick, NJ 08816
Phone (732) 432-7250

185 Central Ave
Ste 412
East Orange, NJ 07018
Phone (201) 943-7977

310 Central Ave
Ste 301
East Orange, NJ 07018
Phone (201) 943-7977

4 Hunter St
#201
Lodi, NJ 07644
Phone (862) 233-8438

41 Bridge St
#A
Metuchen, NJ 08840
Phone (732) 432-7250

101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336

250 Skillman St
Ste 202
Brooklyn, NY 11205

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1265093504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-943-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-943-7977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Hunter St # 201",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "NJ",
            "postal_code": "076441608",
            "country_code": "US",
            "telephone_number": "862-233-8438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "RANA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00368300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

Verify at the official NPI Registry.