Active NPI
Timothy Momah, MT
- Medical Technologist
- Rahway, NJ
National Provider Identifier
1558738898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 015075-1
- Practice address
- 536 W Lake Ave
Rahway, NJ 07065-2537 - Phone
- (848) 467-9311
- NPI assigned
- Aug 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 015075-1 | NY | Primary |
Addresses
Primary practice location
536 W Lake Ave
Rahway, NJ 07065-2537
Mailing address
536 W Lake Ave
Rahway, NJ 07065-2537
Phone (848) 467-9311
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)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015075-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440115200000",
"number": "1558738898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 W LAKE AVE",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070652537",
"telephone_number": "848-467-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 W LAKE AVE",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070652537",
"telephone_number": "848-467-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMAH",
"first_name": "TIMOTHY",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-21",
"last_updated": "2015-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "NY",
"license": "015075-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rahway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.