Sabreena Moose, PA-C

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

25MP01016000 Issued in NJ

Practice address

1680 Route 23 Ste 160
Wayne, NJ 07470-7512

Phone

(973) 221-2500

NPI assigned

May 27, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shah Primary Care

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1750056644
  NPD (past)

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1538090576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BRYAN DR",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 160",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707512",
            "telephone_number": "973-221-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSE",
        "first_name": "SABREENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "25MP01016000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Lisa Cosmetic Surgery Center
• Monarch Anesthesia of Wayne, LLC
• Jennefer Erinna Monck, M.D.
• Vanessa Monopoli, PT, DPT
• Ga Hyun Moon, L.AC
• Manuel Joaquin Moquete, M.D.
• Alison Moquin, MS ATC
• Alejandro Morales-Restrepo, M.D.
• Carlos Moreira
• Kathy Anne Morelli, L.P.C.

• Adult Medicine Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Adult Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.

Verify at the official NPI Registry.