Active NPI
Jaime Moya, M.D.
- General Practice Physician
- Hasbrouck Heights, NJ
National Provider Identifier
1275782310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MA 023442
- Practice address
- 471 Jefferson Ave
Hasbrouck Heights, NJ 07604-2631 - Phone
- (201) 393-9268
- NPI assigned
- Sep 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MA 023442 | NJ | Primary |
Addresses
Primary practice location
471 Jefferson Ave
Hasbrouck Heights, NJ 07604-2631
Mailing address
471 Jefferson Ave
Hasbrouck Heights, NJ 07604-2631
Phone (201) 393-9268
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 023442 | NJ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221264000000",
"number": "1275782310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 JEFFERSON AVE",
"city": "HASBROUCK HEIGHTS",
"state": "NJ",
"postal_code": "076042631",
"telephone_number": "201-393-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 JEFFERSON AVE",
"city": "HASBROUCK HEIGHTS",
"state": "NJ",
"postal_code": "076042631",
"telephone_number": "201-393-9268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYA",
"first_name": "JAIME",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-13",
"last_updated": "2008-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": "MA 023442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hasbrouck Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.