Individual provider Active NPI

Parviz Moazami, M.D.

  • Specialist
  • Guttenberg, NJ
National Provider Identifier
1700890217
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA050188 Issued in NJ
Practice address
7000 Kennedy Blvd E
Guttenberg, NJ 07093-4818
Phone
(201) 868-8400
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA050188 NJ Primary

Addresses

Primary practice location

7000 Kennedy Blvd E
Guttenberg, NJ 07093-4818

Mailing address

7000 Kennedy Blvd E
Guttenberg, NJ 07093-4818

Other identifiers 1

IdentifierTypeStateIssuer
0623202MedicaidNJ

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
I20071129000193 NJ Practitioner - General Practice 8921197989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7000 Blvd E
Guttenberg, NJ 07093-4818
Phone (201) 868-8400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA050188NJMDSpecialist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700890217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 KENNEDY BLVD E",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 KENNEDY BLVD E",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934818",
            "telephone_number": "201-868-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAZAMI",
        "first_name": "PARVIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA050188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0623202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

Verify at the official NPI Registry.