Doctor J M Moradia MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DOCTOR J M MORADIA MD SC

Practice address

1600 Dempster St
Suite 207
Park Ridge, IL 60068

Phone

(847) 803-9393

Fax

(847) 803-1358

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jadav M Moradia, MD

Title

President

Phone

(847) 803-9393

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Indira Devi Nair, M.D., S.C.

  • Internal Medicine Physician
  • Niles, IL
  • NPI 1306880455
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699708495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DEMPSTER ST",
            "address_2": "SUITE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-803-9393",
            "fax_number": "847-803-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DEMPSTER ST",
            "address_2": "SUITE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-803-9393",
            "fax_number": "847-803-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR J M MORADIA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORADIA",
        "authorized_official_first_name": "JADAV",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-803-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01627439",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zeljana Djukic
• Dmi Counseling PLLC
• Jennifer DO, DO
• Julianne Elisabeth Dobek
• Brynne Marie Dochterman
• Doctor Services at Home Inc
• Danielle Francine Breslow Dodson, LCSW
• Jennifer Doherty
• Ashley Lynn Dojcsak, DO
• James R. Dolan, M.D.

• Internal Medicine Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.