Active NPI
Moshe Reich, FNP
- Family Nurse Practitioner
- Jackson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 343600
- Practice address
- 874 Bethel Church Rd
Jackson, NJ 08527-1712 - Phone
- (347) 424-5927
- NPI assigned
- Aug 22, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 656811 | NY | |
| Registered Nurse | 163W00000X | 26NR16062300 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 343600 | NY | Primary |
| Nurse Practitioner | 363L00000X | 26NJ00904300 | NJ |
Addresses
Primary practice location
874 Bethel Church Rd
Jackson, NJ 08527-1712
Mailing address
874 Bethel Church Rd
Jackson, NJ 08527-1712
Phone (347) 424-5927
Other practice location 1
17 Julius Way
Lakewood, NJ 08701-6162
Phone (347) 424-5927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Hillside Blvd
Lakewood, NJ 08701-3148
Phone (732) 364-2144
1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-2144
1771 Madison Ave
Lakewood, NJ 08701-1251
485 Locust St
Lakewood, NJ 08701-5896
Phone (732) 576-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR16062300 | NJ | MD | Registered Nurse |
| 656811 | NY | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| Lakewood Resource and Referral Center Inc | Current | Accepting new patients | |
| Madison Infusion Center | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Lakewood Resource and Referral Center, Inc. | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144
108 Hillside Blvd
Lakewood, NJ 08701
Phone 73236421445370
1440 Madison Ave
New York, NY 10029
Phone (212) 241-5561
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1083748297
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Infusion Therapy Clinic/Center
- Lakewood, NJ
- NPI 1154110187
-
- Federally Qualified Health Center (FQHC)
- Jackson, NJ
- NPI 1124844816
-
- Emergency Medicine Physician
- New York, NY
- NPI 1427398676
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- Emergency Medicine Physician
- New York, NY
- NPI 1891757340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1326529942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 BETHEL CHURCH RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085271712",
"telephone_number": "347-424-5927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 BETHEL CHURCH RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085271712",
"telephone_number": "347-424-5927"
}
],
"practiceLocations": [
{
"address_1": "17 Julius Way",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "NJ",
"postal_code": "087016162",
"country_code": "US",
"telephone_number": "347-424-5927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REICH",
"first_name": "MOSHE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-22",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NY",
"license": "656811",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR16062300",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "343600",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00904300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.