Active NPI
Michael Gerald Moran, LCSW
- Clinical Social Worker
- Jersey City, NJ
National Provider Identifier
1285956490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05412200
- Practice address
- 281 Pavonia Ave
Jersey City, NJ 07302-1605 - Phone
- (646) 298-5227
- NPI assigned
- Feb 16, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05412200 | NJ | Primary |
Addresses
Primary practice location
281 Pavonia Ave
Jersey City, NJ 07302-1605
Mailing address
167 Wayne St
#108
Jersey City, NJ 07302-3490
Phone (646) 298-5227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 29, 2024 through Jan 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05412200 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1285956490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 WAYNE ST",
"address_2": "#108",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023490",
"telephone_number": "646-298-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 PAVONIA AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073021605",
"telephone_number": "646-298-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "MICHAEL",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-16",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05412200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.