Individual provider Active NPI

Millicent F Moseray, APN

  • Women's Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1285416958
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP1052203 Issued in DC
Practice address
238 Mulberry St
Newark, NJ 07102-3528
Phone
(973) 622-3900
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NP1052203 DC Primary
Women's Health Nurse Practitioner 363LW0102X 26NJ14904400 NJ
Women's Health Nurse Practitioner 363LW0102X AC005445 MD

Addresses

Primary practice location

238 Mulberry St
Newark, NJ 07102-3528

Mailing address

9107 Gossamer CT
Princeton, NJ 08540-6561
Phone (570) 926-2617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240813003275 NY Practitioner - Nurse Practitioner 8022556760 Reassigns benefits to 5 organizations
I20260205000005 NJ Practitioner - Nurse Practitioner 8022556760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

57 Route 46
Suite 212
Hackettstown, NJ 07840

57 Route 46
Suite 212
Hackettstown, NJ 07840-2695

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1052203DCMDWomen's Health Nurse Practitioner
AC005445MDMDWomen's Health Nurse Practitioner
26NJ14904400NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Dec 6, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jun 7, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 7, 2024 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Jun 7, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jun 7, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Jun 7, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 7, 2024 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

1045 Bloomfield Ave
Clifton, NJ 07012
Phone (973) 883-1111

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

175 High St
Newton, NJ 07860
Phone (973) 383-2121

695 N Route 17
Paramus, NJ 07652
Phone (201) 597-4000

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

5235 Broadway
Ste C
Bronx, NY 10463
Phone (646) 350-1633

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1285416958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 GOSSAMER CT",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406561",
            "telephone_number": "570-926-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MULBERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023528",
            "telephone_number": "973-622-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSERAY",
        "first_name": "MILLICENT",
        "middle_name": "F",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DC",
            "license": "NP1052203",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ14904400",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "AC005445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.