Individual provider Active NPI

Moutaz Ghrewati, MD

  • Internal Medicine Physician
  • Paterson, NJ
National Provider Identifier
1568982189
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10795900 Issued in NJ
Practice address
703 Main St
Paterson, NJ 07503-2621
Phone
(973) 754-2000
NPI assigned
Jun 24, 2017
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 25MA10795900 NJ Primary

Addresses

Primary practice location

703 Main St
Paterson, NJ 07503-2621

Mailing address

703 Main St
Paterson, NJ 07503-2621

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615001937 NJ Practitioner - Internal Medicine 8224450531 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inhospital Physicians Corp of New Jersey, PCGroup PAC ID 2264781780, 20 clinicians
Ccmma NJ LLCGroup PAC ID 8123392495, 31 clinicians
Passaic Hospitalist Services, LLCGroup PAC ID 8426404484, 30 clinicians

Practice addresses (Care Compare)

218 A Sunset Rd
Willingboro, NJ 08046-1110
Phone (609) 835-2900

234 Hamburg Tpke
Wayne, NJ 07470-2173
Phone (609) 835-2900

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

50 Brown Cir
Paramus, NJ 07652-5204
Phone (845) 702-2711

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Hospitalists Associates PA CurrentSince Oct 1, 2025 Accepting new patients
Ccmma NJ LLC CurrentSince Jul 1, 2021 Accepting new patients
Passaic Hospitalist Services, LLC CurrentSince Dec 6, 2023 Accepting new patients
St Josephs Medical Group PC Internal Medicine CurrentSince Nov 2, 2021 Accepting new patients
Totowa Cancer Center CurrentSince Jul 15, 2024 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince May 1, 2024 Accepting new patients
St. Joseph's Healthcare, Inc. Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince May 1, 2024 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Internal Medicine CurrentSince Aug 16, 2022 Accepting new patients
Ihpnj ER LLC Past Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

65 James St
Edison, NJ 08820
Phone (732) 321-7010

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

92 2nd St
Hackensack, NJ 07601
Phone (551) 996-2210

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

180 White Rd
Ste 106
Little Silver, NJ 07739
Phone (201) 510-0904

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

500 Frank W Burr Blvd
Ste 560
Teaneck, NJ 07666

225 Minnisink Rd
Totowa, NJ 07512
Phone (862) 657-3000

225 Minnisink Rd
Bldg B
Totowa, NJ 07512

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1568982189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHREWATI",
        "first_name": "MOUTAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-24",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10795900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.