Active NPI
Michael G Moschella, CPO
- Prosthetic/Orthotic Supplier
- East Orange, NJ
National Provider Identifier
1659442374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 45PO00013100
- Practice address
- 331 Main St
East Orange, NJ 07017-1208 - Phone
- (973) 736-2244
- Fax
- (973) 736-2227
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 45PO00013100 | NJ | Primary |
Addresses
Primary practice location
331 Main St
East Orange, NJ 07017-1208
Mailing address
331 Main St
East Orange, NJ 07017-1208
Phone (973) 736-2244
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8745501 | Medicaid | NJ | |
| 3K4056 | Other | NJ | HEALTHNET |
| 2900665 | Other | NJ | AETNA HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45PO00013100 | NJ | MD | Prosthetic/Orthotic Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Orthopaedics, Inc | Prosthetic/Orthotic Supplier | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthetic/Orthotic Supplier
- Summit, NJ
- NPI 1619228517
-
dba Next Step Orthotics & Prosthetics
- Prosthetic/Orthotic Supplier
- West Orange, NJ
- NPI 1164593992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659442374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 MAIN ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070171208",
"telephone_number": "973-736-2244",
"fax_number": "973-736-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 MAIN ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070171208",
"telephone_number": "973-736-2244",
"fax_number": "973-736-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSCHELLA",
"first_name": "MICHAEL",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "CPO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NJ",
"license": "45PO00013100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8745501",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3K4056",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "2900665",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.