Michael Moore, MD, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MA58638 Issued in NJ

Legal business name

MICHAEL MOORE, MD, PA

Practice address

171 Franklin Tpke
Suite 200
Waldwick, NJ 07463-1849

Phone

(201) 689-0110

Fax

(201) 689-0114

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael G MooreNPI 1750328068

Title

Owner

Phone

(201) 689-0110

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael G Moore, MD

  • Orthopaedic Surgery Physician
  • Waldwick, NJ
  • NPI 1750328068
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1376738377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 FRANKLIN TPKE",
            "address_2": "SUITE 200",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631849",
            "telephone_number": "201-689-0110",
            "fax_number": "201-689-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 FRANKLIN TPKE",
            "address_2": "SUITE 200",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631849",
            "telephone_number": "201-689-0110",
            "fax_number": "201-689-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MOORE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-689-0110",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA58638",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryclaire Mena, LCSW
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• Jessica Miglin, APN
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• Michael G Moore, MD
• Arkady Mordkovich

• Orthopaedic Surgery Physician in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.

Verify at the official NPI Registry.