Individual provider Active NPI

Saman Moazami, M.D.

  • Urology Physician
  • Rockaway, NJ
National Provider Identifier
1578839064
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA10238100 Issued in NJ
Practice address
333 Mount Hope Ave
Rockaway, NJ 07866-1645
Phone
(973) 895-6636
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA10238100 NJ Primary

Addresses

Primary practice location

333 Mount Hope Ave
Rockaway, NJ 07866-1645

Mailing address

PO Box 416457
Boston, MA 02241-6457

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
I20180507000321 NJ Practitioner - Urology 5092079731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
George Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

Practice addresses (Care Compare)

300 Littleton Rd
Suite 301
Parsippany, NJ 07054-4841
Phone (732) 390-7750

620 Cranbury Rd
East Brunswick, NJ 08816-4000
Phone (732) 390-7750

75 Veronica Ave
Suite 201
Somerset, NJ 08873-5002
Phone (732) 390-7750

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Health Partners LLC CurrentSince Oct 1, 2024 Accepting new patients
Internal Medicine of Morris County LLC Urology CurrentSince Jul 1, 2020 Accepting new patients
Garden State Urology LLC Urology CurrentSince Mar 13, 2019 Accepting new patients
Titan Health Partners LLC CurrentSince Oct 1, 2024 Accepting new patients
Titan Health Partners LLC Past Accepting new patients

Locations

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

23 Pocono Rd
Ste 100
Denville, NJ 07834
Phone (973) 316-1701

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

34-36 Progress St
Ste B
Edison, NJ 08820

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

261 James St
Ste 1A
Morristown, NJ 07960
Phone (973) 539-0333

33 Newton Sparta Rd
Ste 2
Newton, NJ 07860
Phone (973) 627-4055

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc35130_gardenstateurology

Organizations & group practices 5

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 5

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1578839064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MOUNT HOPE AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661645",
            "telephone_number": "973-895-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAZAMI",
        "first_name": "SAMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA10238100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.