Individual provider Active NPI

Steven R Moraca, PSY.D.

  • Psychologist
  • West Deptford, NJ
National Provider Identifier
1508190885
Registry record updated Sep 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00471500 Issued in NJ
Practice address
800 Jessup Rd
Sherwood Professional Building Suite 808
West Deptford, NJ 08086-9354
Phone
(856) 845-7800
Fax
(856) 845-3861
NPI assigned
Sep 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00471500 NJ Primary
Psychologist 103T00000X 016477 PA

Addresses

Primary practice location

800 Jessup Rd
Sherwood Professional Building Suite 808
West Deptford, NJ 08086-9354

Mailing address

61 Glen Echo Ave
Swedesboro, NJ 08085-1241
Phone (856) 467-6432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00471500NJMDPsychologist
016477PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mullica Hill Psychological Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253318400000",
    "number": "1508190885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 GLEN ECHO AVE",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851241",
            "telephone_number": "856-467-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JESSUP RD",
            "address_2": "SHERWOOD PROFESSIONAL BUILDING SUITE 808",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080869354",
            "telephone_number": "856-845-7800",
            "fax_number": "856-845-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORACA",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-19",
        "last_updated": "2009-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "00471500",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "016477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.