S Moosa Jaffari MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25MA02930800 Issued in NJ

Legal business name

S MOOSA JAFFARI MD PA

Practice address

814 River Ave.
Lakewood, NJ 08701

Phone

(732) 367-7707

Fax

(732) 367-7860

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. S Moosa Jaffari, MD PA

Title

Authorized Official

Phone

(732) 367-7707

Specialties & licenses 1

Addresses

Other names 1

• Moosa Jaffari MD PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Moosa Jaffari MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• S Moosa Jaffari Mdpa

  • Specialist
  • Lakewood, NJ
  • NPI 1720418049
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed Moosa Jaffari, MD

  • Otolaryngology Physician
  • Lakewood, NJ
  • NPI 1063526168
  Medicare reassignment

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477794972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 RIVER AVE.",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-367-7707",
            "fax_number": "732-367-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 RIVER AVE.",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-367-7707",
            "fax_number": "732-367-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S MOOSA JAFFARI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JAFFARI",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "MOOSA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-367-7707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA02930800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moosa Jaffari MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rush Occupational Therapy, LLC
• Katherine Teresa Russo, LCSW
• RW Speech Rehab LLC
• Kaitlyn Ryan, BCBA
• Gittie Ryback, LCSW
• S Moosa Jaffari Mdpa
• S&H Speech Therapy Inc
• S&P Healthcare LLC (S & P Health)
• Rivka Saalkind
• Avishkar Sabharwal, M.D.

• Otolaryngology Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.