Mir A. Moosvi, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03401800 Issued in NJ

Practice address

717 N Beers St
Suite 2C
Holmdel, NJ 07733-1524

Phone

(732) 264-7411

Fax

(732) 264-1074

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Abbas A. Moosvi Other name

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ea Health - New Jersey LLCGroup PAC ID 6103222039, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
• Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ea Health - New Jersey LLC

  • Emergency Medicine Physician
  • Red Bank, NJ
  • NPI 1063186641
  Medicare reassignment Care Compare group NPD

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

• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Red Bank, NJ
  • NPI 1295452886

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Red Bank, NJ
  • NPI 1710499462
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Holmdel, NJ
  • NPI 1740907336

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Holmdel, NJ
  • NPI 1760994412
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1407949514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST",
            "address_2": "STE 2C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST",
            "address_2": "SUITE 2C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331524",
            "telephone_number": "732-264-7411",
            "fax_number": "732-264-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSVI",
        "first_name": "MIR",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03401800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2509707",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "029380TSE",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBAS",
            "last_name": "MOOSVI",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Fatimah Mosaad, PHARMD RPH
• Cynthia Lynne Mudd, OTR

• Specialist in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.

Verify at the official NPI Registry.