Individual provider Active NPI

Nandini Moray, M.D.

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1609958131
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA68737 Issued in NJ
Practice address
37 Progress St
Suite Aa5
Edison, NJ 08820-1179
Phone
(908) 546-7070
Fax
(908) 546-7069
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA68737 NJ Primary

Addresses

Primary practice location

37 Progress St
Suite Aa5
Edison, NJ 08820-1179

Mailing address

37 Progress St
Suite Aa5
Edison, NJ 08820-1179
Phone (908) 546-7070

Other identifiers 1

IdentifierTypeStateIssuer
7961901MedicaidNJ

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
I20041220000655 NJ Practitioner - Internal Medicine 4688631872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 -37 Progress St
Suite Aa5
Edison, NJ 08820-1189
Phone (732) 634-2892

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Complete Care at Plainfield LLC Nursing home, Plainfield, NJ, CCN 315101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA68737NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nandini Moray MD PA CurrentSince Mar 1, 2003 Accepting new patients
Middlesex Infectious Diseases LLC PastSince Mar 1, 2003 Accepting new patients

Locations

37 Progress St
Ste AA5
Edison, NJ 08820
Phone (732) 634-2892

900 Woodbridge Center Dr
Woodbridge, NJ 07095
Phone (732) 636-4111

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 3

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1609958131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PROGRESS ST",
            "address_2": "SUITE AA5",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201179",
            "telephone_number": "908-546-7070",
            "fax_number": "908-546-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PROGRESS ST",
            "address_2": "SUITE AA5",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201179",
            "telephone_number": "908-546-7070",
            "fax_number": "908-546-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAY",
        "first_name": "NANDINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA68737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7961901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.