Individual provider Active NPI

Jeanne Marie Moriarty, D.M.D.

  • Dentist
  • Ramsey, NJ
National Provider Identifier
1275799777
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DIO1722800 Issued in NJ
Practice address
14 N Spruce St
Ramsey, NJ 07446-1905
Phone
(201) 825-8550
Fax
(201) 825-8788
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DIO1722800 NJ Primary

Addresses

Primary practice location

14 N Spruce St
Ramsey, NJ 07446-1905

Mailing address

14 N Spruce St
Ramsey, NJ 07446-1905
Phone (201) 825-8550

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
I20160212001248 NJ Order and Referring Only - DentistPractitioner - Dentist 4587968425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DIO1722800NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1275799777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N SPRUCE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461905",
            "telephone_number": "201-825-8550",
            "fax_number": "201-825-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N SPRUCE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461905",
            "telephone_number": "201-825-8550",
            "fax_number": "201-825-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DIO1722800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.