Active NPI
Dr Anna Moy DPM LLC
- Podiatrist
- Irvington, NJ
National Provider Identifier
1346445376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MD00155900
- Legal business name
- DR ANNA MOY DPM LLC
- Practice address
- 631 Nye Ave
Suite A7
Irvington, NJ 07111-2394 - Phone
- (973) 416-1333
- Fax
- (973) 416-0179
- NPI assigned
- Jun 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Moy, DPM
- Title
- Doctor of Podiatric Medicine
- Phone
- (973) 416-1333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD00155900 | NJ | Primary |
Addresses
Primary practice location
631 Nye Ave
Suite A7
Irvington, NJ 07111-2394
Mailing address
PO Box 3619
Jersey City, NJ 07303-3619
Phone (201) 938-1866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972578532 | Other | NJ | INDIVIDUAL NPI # |
| 0313301 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
172 Newark Ave
Jersey City, NJ 07302
Phone (201) 432-3300
172 Newark Ave
Ste 5
Jersey City, NJ 07302
Phone (201) 938-1866
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Irvington, NJ
- NPI 1972578532
-
- Podiatrist
- Millburn, NJ
- NPI 1427043199
-
- Podiatrist
- Flushing, NY
- NPI 1235342387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189123200000",
"number": "1346445376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3619",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073033619",
"telephone_number": "201-938-1866",
"fax_number": "973-416-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 NYE AVE",
"address_2": "SUITE A7",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112394",
"telephone_number": "973-416-1333",
"fax_number": "973-416-0179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR ANNA MOY DPM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2007-09-07",
"status": "A",
"authorized_official_last_name": "MOY",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
"authorized_official_telephone_number": "973-416-1333",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": "MD00155900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI #",
"identifier": "1972578532",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0313301",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.