Active NPI
Sandra W. Moss, M.D.
- Internal Medicine Physician
- Metuchen, NJ
National Provider Identifier
1376791566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA02675900
- Practice address
- 33 Eggert Ave
Metuchen, NJ 08840-2505 - Phone
- (732) 549-5843
- NPI assigned
- Aug 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA02675900 | NJ | Primary |
Addresses
Primary practice location
33 Eggert Ave
Metuchen, NJ 08840-2505
Mailing address
33 Eggert Ave
Metuchen, NJ 08840-2505
Phone (732) 549-5843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02675900 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220140800000",
"number": "1376791566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 EGGERT AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402505",
"telephone_number": "732-549-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 EGGERT AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402505",
"telephone_number": "732-549-5843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "SANDRA",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-31",
"last_updated": "2008-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA02675900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.