Active NPI
Moses F Olorunnisola Jr., M.D.
- Pediatrics Physician
- Manahawkin, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA09681500
- Practice address
- 1140 Route 72 W
Manahawkin, NJ 08050-2412 - Phone
- (609) 597-6405
- NPI assigned
- Mar 27, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA09681500 | NJ | Primary |
Addresses
Primary practice location
1140 Route 72 W
Manahawkin, NJ 08050-2412
Mailing address
1140 Route 72 W
Manahawkin, NJ 08050-2412
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Morristown Emergency Medical Associates LLC | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Primary Care PC | Pediatrics | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| HMH Hospitals Corporation | Past | Accepting new patients | |
| HMH Hospitals Corporation | Past | Accepting new patients |
Locations
985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600
2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380
44 Manchester Ave
Ste H
Forked River, NJ 08731
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
101 Prospect St
Ste 112
Lakewood, NJ 08701
Phone (732) 363-1424
500 US Highway 9
Lanoka Harbor, NJ 08734
Phone (609) 693-8131
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Interoperability endpoints
- molorunnisola564660@direct.ahsys.org
- moses.olorunnisola@direct.hackensackmeridian.org
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
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.
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
dba HMHMG Primary Care
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Pediatrics
-
- Emergency Medicine Physician
- Freehold, NJ
- NPI 1649541087
-
dba University Surgical Associates
- Surgery Physician
- Newark, NJ
- NPI 1639189236
-
dba AtlantiCare Urgent Care
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
dba Jersey Shore University Medical Center
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
dba Southern Ocean Medical Center
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1467728113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 ROUTE 72 W",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 ROUTE 72 W",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502412",
"telephone_number": "609-597-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLORUNNISOLA",
"first_name": "MOSES",
"middle_name": "F",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-27",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA09681500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.