Individual provider Active NPI

Jacob D Moskovitz, MD

  • Diagnostic Radiology Physician
  • Hackensack, NJ
National Provider Identifier
1407353568
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA11925500 Issued in NJ
Practice address
30 Prospect Ave Radiology Dept
Hackensack, NJ 07601
Phone
(551) 996-2200
NPI assigned
Apr 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA11925500 NJ Primary

Addresses

Primary practice location

30 Prospect Ave Radiology Dept
Hackensack, NJ 07601

Mailing address

130 Kinderkamack Rd Ste 200
River Edge, NJ 07661-1951
Phone (201) 488-2660

Other practice location 1

30 S Newman St
Hackensack, NJ 07601-3210
Phone (201) 488-2660

Other practice location 2

5 Marine View Plz Ste 100
Hoboken, NJ 07030-5752
Phone (201) 488-2660

Other practice location 3

555 Kinderkamack Rd
Oradell, NJ 07649-1517
Phone (201) 488-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231205002190 NY Practitioner - Diagnostic Radiology 9234474222 Reassigns benefits to 1 organization
I20240507002091 NJ Practitioner - Diagnostic Radiology 9234474222 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians
Hackensack Radiology Group PAGroup PAC ID 9830096361, 48 clinicians
Imaging North LLCGroup PAC ID 9133514987, 43 clinicians
New Century Imaging LLCGroup PAC ID 4082517370, 61 clinicians

Practice addresses (Care Compare)

1900 Union Valley Rd
Suite 101
Hewitt, NJ 07421-3024
Phone (973) 320-6285

30 Prospect Ave
Hackensack, NJ 07601-1915

5 Marine View PLZ
Suite 100
Hoboken, NJ 07030-5752
Phone (201) 488-2660

555 Kinderkamack Rd
Oradell, NJ 07649-1517
Phone (201) 488-2660

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Radiology Group PA Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Fpa Hospital Based Current Accepting new patients
New Century Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 4, 2025 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Imaging North LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Aug 4, 2025 Accepting new patients
Fpa Hospital Based CurrentSince Dec 1, 2023 Accepting new patients

Locations

1 Metro Blvd
Ste 1A
Clifton, NJ 07014

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

30 S Newman St
Hackensack, NJ 07601
Phone (201) 488-1188

5 Marine View Plz
Ste 100
Hoboken, NJ 07030

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

555 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 261-2400

650 From Rd
Ste 130
Paramus, NJ 07652
Phone (551) 996-4788

130 Kinderkamack Rd
Ste 200
River Edge, NJ 07661

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 8

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 8

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1407353568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KINDERKAMACK RD STE 200",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611951",
            "telephone_number": "201-488-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE RADIOLOGY DEPT",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-996-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 S Newman St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076013210",
            "country_code": "US",
            "telephone_number": "201-488-2660",
            "fax_number": "201-488-6784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Marine View Plz Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305752",
            "country_code": "US",
            "telephone_number": "201-488-2660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Kinderkamack Rd",
            "address_purpose": "LOCATION",
            "city": "Oradell",
            "state": "NJ",
            "postal_code": "076491517",
            "country_code": "US",
            "telephone_number": "201-488-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSKOVITZ",
        "first_name": "JACOB",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11925500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.