Individual provider Active NPI

Moshe Reich, FNP

  • Family Nurse Practitioner
  • Jackson, NJ
National Provider Identifier
1326529942
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343600 Issued in NY
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

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20201022002658 NY Practitioner - Nurse Practitioner 0648690156 Reassigns benefits to 1 organization
I20220602000188 NJ Practitioner - Nurse Practitioner 0648690156 Reassigns benefits to 1 organization

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
Lakewood Resource and Referral Center IncGroup PAC ID 6901981497, 106 clinicians

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

LicenseStateTypeSpecialty
26NR16062300NJMDRegistered Nurse
656811NYMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Current Accepting new patients
Lakewood Resource and Referral Center Inc CurrentSince Apr 1, 2022 Accepting new patients
Madison Infusion Center CurrentSince May 11, 2025 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2020 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2020 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.

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

Verify at the official NPI Registry.