Individual provider Active NPI

Stuart Moses, MD

  • Diagnostic Radiology Physician
  • Nutley, NJ
National Provider Identifier
1467553321
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MA41733 Issued in NJ
Practice address
20 High St
Nutley, NJ 07110-1132
Phone
(973) 284-0020
Fax
(973) 284-6310
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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 MA41733 NJ Primary

Addresses

Primary practice location

20 High St
Nutley, NJ 07110-1132

Mailing address

777 Passaic Ave
Suite 360
Clifton, NJ 07012-1804
Phone (973) 284-0020

Other identifiers 1

IdentifierTypeStateIssuer
6536107MedicaidNJ

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
I20050730000181 NJ Practitioner - Diagnostic Radiology 2567490691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Subspecialists of North Jersey LLCGroup PAC ID 3577558378, 31 clinicians

Practice addresses (Care Compare)

703 Main St
Paterson, NJ 07503-2621
Phone (973) 569-2621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.56 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Subspecialists of North Jersey, LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Montclair Radiological Assoc ,PA Diagnostic Radiology CurrentSince Jan 1, 2009 Accepting new patients
Diagnostic Imaging Associates of North Jersey PA Past Accepting new patients

Locations

777 Passaic Ave
Ste 360
Clifton, NJ 07012

116 Park St
Montclair, NJ 07042
Phone (973) 661-4674

20 High St
Nutley, NJ 07110
Phone (973) 281-1881

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1467553321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 PASSAIC AVE",
            "address_2": "SUITE 360",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121804",
            "telephone_number": "973-284-0020",
            "fax_number": "973-284-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HIGH ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101132",
            "telephone_number": "973-284-0020",
            "fax_number": "973-284-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MA41733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6536107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.