Active NPI
Manuel Joaquin Moquete, M.D.
- Nephrology Physician
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MA61179
- Practice address
- 246 Hamburg Tpke Ste 207
Wayne, NJ 07470-2160 - Phone
- (973) 653-3366
- Fax
- (973) 653-3365
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MA61179 | NJ | Primary |
Addresses
Primary practice location
246 Hamburg Tpke Ste 207
Wayne, NJ 07470-2160
Mailing address
246 Hamburg Tpke Ste 207
Wayne, NJ 07470-2160
Phone (973) 653-3366
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1030791 | Other | NJ | OXFORD |
| 1042675 | Other | NJ | HORIZON NJ HEALTH |
| 8215828 | Other | NJ | GHI |
| CC8414 | Other | NJ | RAIL ROAD MEDICARE |
| 5982636 | Other | NJ | AETNA |
| 0072037000 | Other | NJ | AMERIHEALTH |
| 1996571 | Other | NJ | UNITED HEALTHCARE |
| 52769 | Other | NJ | AMERIGROUP |
| 6838405 | Medicaid | NJ | |
| 01000777000 | Other | NJ | AMERICHOICE |
| 0329258 | Other | NJ | CIGNA |
| 2K9275 | Other | NJ | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
246 Hamburg Tpke
Suite 207
Wayne, NJ 07470-2160
Phone (973) 653-3366
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61179 | NJ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Jersey Nephrology Assoc. PA | Nephrology | Current | Accepting new patients |
| St Josephs Medical Group PC | Current | Accepting new patients | |
| St. Joseph'S Healthcare, Inc. | Current | Accepting new patients | |
| Simeon Dialysis LLC | Past | Accepting new patients | |
| Fresenius Medical Care Passaic, LLC | Past | Accepting new patients | |
| North Jersey Vascular Center LLC | Past | Accepting new patients |
Locations
50 Mount Prospect Ave
Ste 101
Clifton, NJ 07013
Phone (973) 574-9880
764 Main St
Ste 301
Paterson, NJ 07503
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
11 Getty Ave
Paterson, NJ 07503
Phone (973) 754-4200
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
230 W Parkway
Ste 10
Pompton Plns, NJ 07444
Phone (908) 442-7011
246 Hamburg Tpke
Ste 207
Wayne, NJ 07470
Phone (201) 796-1200
1031 McBride Ave
Ste D209
Woodland Park, NJ 07424
Phone (973) 222-8387
Interoperability endpoints
- manuel.moquete@direct.davitaphysiciansolutions.com
Organizations & group practices 6
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.
-
- Nephrology Physician
- Wayne, NJ
- NPI 1801906896
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Vascular & Interventional Radiology Physician
- Clifton, NJ
- NPI 1780087312
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Clifton, NJ
- NPI 1598306276
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Paterson, NJ
- NPI 1871862730
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Paterson, NJ
- NPI 1871862730
Dialysis facility
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1568564102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 HAMBURG TPKE STE 207",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702160",
"telephone_number": "973-653-3366",
"fax_number": "973-653-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 HAMBURG TPKE STE 207",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702160",
"telephone_number": "973-653-3366",
"fax_number": "973-653-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOQUETE",
"first_name": "MANUEL",
"middle_name": "JOAQUIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "MA61179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1030791",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1042675",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "8215828",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CC8414",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5982636",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0072037000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1996571",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "52769",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6838405",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01000777000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0329258",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K9275",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.