Individual provider Active NPI

James Moran, DO

  • Sports Medicine (Family Medicine) Physician
  • Springfield, PA
National Provider Identifier
1578093647
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
25MB11272300 Issued in NJ
Practice address
1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956
Phone
(610) 690-4471
Fax
(610) 690-4474
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MB11272300 NJ Primary
Family Medicine Physician 207Q00000X OT017992 PA

Addresses

Primary practice location

1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956

Mailing address

376 Lafayette Rd
Ste 202
Sparta, NJ 07871-3560
Phone (908) 684-3005

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
I20211025000279 NJ Practitioner - Family PracticePractitioner - Sports Medicine 8921496993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Rowan University School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Jersey Sports Medicine and Orthopedic Center, LLCGroup PAC ID 6709895733, 29 clinicians

Practice addresses (Care Compare)

376 Lafayette Rd
Suite 202
Sparta, NJ 07871-3560
Phone (908) 684-3005

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as group
Quality
89.4
Promoting interoperability
97
Improvement activities
40
Cost
76.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT017992PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Sports Medicine & Orthopedic Center, LLC CurrentSince Dec 1, 2021 Accepting new patients
North Jersey Sports Medicine and Orthopedic Center LLC Sports Medicine CurrentSince Dec 1, 2021 Accepting new patients

Locations

108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646

95 Madison Ave
Ste 101
Morristown, NJ 07960
Phone (973) 267-1010

711 Route 10 E
Ste 100
Randolph, NJ 07869

376 Lafayette Rd
Ste 202
Sparta, NJ 07871
Phone (908) 684-2480

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578093647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 LAFAYETTE RD",
            "address_2": "STE 202",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713560",
            "telephone_number": "908-684-3005",
            "fax_number": "908-684-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE STE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643956",
            "telephone_number": "610-690-4471",
            "fax_number": "610-690-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB11272300",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT017992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.