Individual provider Active NPI

Joseph Phillip Moeller, D.O.

  • Neurology Physician
  • Cherry Hill, NJ
National Provider Identifier
1326059270
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS011899 Issued in PA
Practice address
100 Springdale Rd Ste A3
PMB 412
Cherry Hill, NJ 08003-3360
Phone
(856) 616-8777
Fax
(856) 616-8780
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS011899 PA Primary

Addresses

Primary practice location

100 Springdale Rd Ste A3
PMB 412
Cherry Hill, NJ 08003-3360

Mailing address

100 Springdale Rd Ste A3
PMB 412
Cherry Hill, NJ 08003-3360
Phone (856) 616-8777

Other identifiers 1

IdentifierTypeStateIssuer
1012899720001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405001129 PA Practitioner - Neurology 0840247474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Neurology Associates PCGroup PAC ID 1456344456, 2 clinicians

Practice addresses (Care Compare)

110 S State St
Suite 200
Newtown, PA 18940-3508
Phone (215) 630-2108

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Community Neurology Associates PC Neurology CurrentSince Feb 1, 2009 Accepting new patients
Rothschild's Orthopedic Appliances Past Accepting new patients

Locations

100 Springdale Rd
Ste A3
Cherry Hill, NJ 08003
Phone (856) 616-8777

110 S State St
Ste 200
Newtown, PA 18940
Phone (215) 630-2108

Organizations & group practices 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1326059270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRINGDALE RD STE A3",
            "address_2": "PMB 412",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033360",
            "telephone_number": "856-616-8777",
            "fax_number": "856-616-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRINGDALE RD STE A3",
            "address_2": "PMB 412",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033360",
            "telephone_number": "856-616-8777",
            "fax_number": "856-616-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "JOSEPH",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS011899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012899720001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.