Mehrdad Motamed, MD.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4442 Issued in RI

Practice address

701 Longview Road
South Orange, NJ 07079

Phone

(973) 761-0443

Fax

(401) 728-3920

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1740236793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 LONGVIEW ROAD",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "07079",
            "telephone_number": "973-761-0443",
            "fax_number": "401-728-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LONGVIEW ROAD",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "07079",
            "telephone_number": "973-761-0443",
            "fax_number": "401-728-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMED",
        "first_name": "MEHRDAD",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "4442",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA091265000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI#",
            "identifier": "1780672709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Stefani Moon, LPC
• Stephanie Moreau, LSW
• Gianna Morreale, DPT
• Amanda Cora Morse
• Yola A Mossad, APN
• Noriko Murai
• Julia Murphy
• Mary E Murray, ATC
• Nacirema Ambulance Corporation
• David Nardo

• Orthopaedic Surgery Physician in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.