Active NPI
Ethan Moritz, MD
- Facial Plastic Surgery Physician
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 25MA12748900
- Practice address
- 620 N Broad St Ste 1
Woodbury, NJ 08096-1795 - Phone
- (856) 576-5750
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 25MA12748900 | NJ | Primary |
Addresses
Primary practice location
620 N Broad St Ste 1
Woodbury, NJ 08096-1795
Mailing address
660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546
Other practice location 1
200 Bowman Dr Ste D285
Voorhees, NJ 08043-9626
Phone (856) 576-5746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 N Broad St
Woodbury, NJ 08096-1795
Phone (856) 576-5750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12748900 | NJ | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Facial Plastic Surgery | Current | Accepting new patients |
| Regional Otolaryngology Head and Neck Associates, LLC | Past | Accepting new patients | |
| Advanced Otolaryngology Associates | Past | Accepting new patients |
Locations
245 US Highway 22
Fl 3
Bridgewater, NJ 08807
Phone (908) 722-1022
557 Cranbury Rd
Ste 3
East Brunswick, NJ 08816
Phone (732) 613-0600
433 Hackensack Ave
Ste 204
Hackensack, NJ 07601
Phone (201) 883-1062
130 N Haddon Ave
Haddonfield, NJ 08033
Phone (856) 429-5055
10 Madison Ave
Fl 3
Morristown, NJ 07960
Phone (973) 507-7750
3663 Route 9 N
Ste 102
Old Bridge, NJ 08857
Phone (732) 679-7575
650 From Rd
Fl 1
Paramus, NJ 07652
Phone (201) 722-9850
900 Lanidex Plz
Ste 300
Parsippany, NJ 07054
Phone (973) 394-1818
239 Hurffville Crosskeys Rd
Ste 360D
Sewell, NJ 08080
Phone (856) 374-4440
1131 Broad St
Ste 103
Shrewsbury, NJ 07702
Phone (732) 389-2438
1543 State Route 27
Ste 21
Somerset, NJ 08873
Phone (732) 873-6863
200 Bowman Dr
Ste D285
Voorhees, NJ 08043
Phone (856) 576-5746
1211 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 633-0808
1113 Hospital Dr
Ste 103
Willingboro, NJ 08046
Phone (856) 576-5749
620 N Broad St
Woodbury, NJ 08096
Phone (856) 602-4000
620 N Broad St
Ste 1301
Woodbury, NJ 08096
620 N Broad St
Ste 1
Woodbury, NJ 08096
Phone (856) 576-5750
660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800
Interoperability endpoints
- emoritz27541@albanymed.direct-ci.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ethan.moritzmd.p1@direct.entandallergy.nextgenshare.com
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
Facial Plastic Surgery, NJ
-
- Otolaryngology Physician
- East Brunswick, NJ
- NPI 1205038148
-
- Otolaryngology Physician
- Cherry Hill, NJ
- NPI 1679528426
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1376002386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD STE 400",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915107",
"telephone_number": "914-984-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N BROAD ST STE 1",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080961795",
"telephone_number": "856-576-5750"
}
],
"practiceLocations": [
{
"address_1": "200 Bowman Dr Ste D285",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439626",
"country_code": "US",
"telephone_number": "856-576-5746",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORITZ",
"first_name": "ETHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NJ",
"license": "25MA12748900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
- Linda Moore, LSW
- Nicole Moore, LCSW
- Harry James Morgan, D.C.
- Jean Haig Morgan, LSW
- Melissa Morina, FNP-C
- Morris Speech Therapy Associates, Limited Liability Company (Woodbury Speech Therapy Associates, LLC)
- Edward Morrison, CRNA
- Raheem Lamar Morton, RBT
- Peter W. Moschberger, PA-C
- Eileen Marie Moynihan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.