Active NPI
Moti Gulersen, MD, MSC
- Maternal & Fetal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MD476911
- Practice address
- 100 E 77TH St
New York, NY 10075-1850 - Phone
- (212) 434-2760
- NPI assigned
- Jul 26, 2015
- Last updated
- Apr 20, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 25MA11703200 | NJ | |
| Maternal & Fetal Medicine Physician | 207VM0101X | MD476911 | PA | Primary |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10075-1850
Mailing address
333 E 79TH St
Apt. 5U
New York, NY 10075-0956
Phone (929) 429-9680
Other practice location 1
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 875-1209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Toronto, Faculty of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Market St
FL 19
Philadelphia, PA 19107-2926
111 S 11TH St
Philadelphia, PA 19107-4824
33 S 9TH Street 3Rd Floor
Jefferson Rehabilitation Medicine
Philadelphia, PA 19107-4414
Phone (215) 955-7190
833 Chestnut St
Suite 138
Philadelphia, PA 19107-4414
Phone (888) 855-6649
925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11703200 | NJ | MD | Maternal & Fetal Medicine Physician |
| MD476911 | PA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Current | Accepting new patients | |
| Kennedy Medical Group Practice PC | Current | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| Jefferson Radiation Oncology, LLC | Past | Accepting new patients |
Locations
457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091
205 E Laurel Rd
Stratford, NJ 08084
Phone (856) 344-7360
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
833 Chestnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 955-5000
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
dba Jefferson Health
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
-
dba Kennedy Health Alliance
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1427350040
-
- Radiation Oncology Physician
- Metairie, LA
- NPI 1619927910
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1336524859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E 79TH ST",
"address_2": "APT. 5U",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750956",
"telephone_number": "929-429-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-2760"
}
],
"practiceLocations": [
{
"address_1": "435 Hurffville Cross Keys Rd",
"address_purpose": "LOCATION",
"city": "Turnersville",
"state": "NJ",
"postal_code": "080122453",
"country_code": "US",
"telephone_number": "856-875-1209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GULERSEN",
"first_name": "MOTI",
"credential": "MD, MSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-26",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NJ",
"license": "25MA11703200",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "PA",
"license": "MD476911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.