Mid Atlantic Multi Specialty Surgical Group, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MID ATLANTIC MULTI SPECIALTY SURGICAL GROUP, LLC

Practice address

2356 US Highway 9
Suite B6
Howell, NJ 07731-4017

Phone

(732) 886-2252

Fax

(732) 886-2260

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vincent L Moss, MDNPI 1396799565

Title

Member

Phone

(917) 597-4112

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAMSURG Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Vincent Lavaughn Moss, MD

  • Trauma Surgery Physician
  • Somerville, NJ
  • NPI 1396799565
  Medicare reassignment Care Compare group NPD Authorized official
• Vance Joshaun Moss, MD

  • Urology Physician
  • Howell, NJ
  • NPI 1184660433
  Medicare reassignment Care Compare group
• Michael J Marchese, M.D.

  • Radiation Oncology Physician
  • Lakewood, NJ
  • NPI 1790768125
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1508891417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 US HIGHWAY 9",
            "address_2": "SUITE B6",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314017",
            "telephone_number": "732-886-2252",
            "fax_number": "732-886-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 US HIGHWAY 9",
            "address_2": "SUITE B6",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314017",
            "telephone_number": "732-886-2252",
            "fax_number": "732-886-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC MULTI SPECIALTY SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-597-4112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "D06277",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAMSURG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Vivian V Mishan, M.D.

• Surgery Physician in Howell, NJ
• Providers in Howell, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.