Individual provider Active NPI

Ethan Moritz, MD

  • Facial Plastic Surgery Physician
  • Woodbury, NJ
National Provider Identifier
1376002386
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
25MA12748900 Issued in NJ
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

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231004360 NJ Practitioner - Otolaryngology 4981946472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

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

LicenseStateTypeSpecialty
25MA12748900NJMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP Facial Plastic Surgery CurrentSince Jan 1, 2026 Accepting new patients
Regional Otolaryngology Head and Neck Associates, LLC PastSince Aug 1, 2003 Accepting new patients
Advanced Otolaryngology Associates PastSince Apr 3, 2007 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

  • Direct secure messaging: emoritz27541@albanymed.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.