Active NPI
Michael Moran, PT
- Physical Therapist
- Marlboro, NJ
National Provider Identifier
1760739742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029496
- Practice address
- 52 Cannonade Dr
Marlboro, NJ 07746-1935 - Phone
- (732) 754-1864
- NPI assigned
- Aug 9, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029496 | NY | Primary |
Addresses
Primary practice location
52 Cannonade Dr
Marlboro, NJ 07746-1935
Mailing address
52 Cannonade Dr
Marlboro, NJ 07746-1935
Phone (732) 754-1864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210511000526 | NJ | Practitioner - Physical Therapist in Private Practice | 1951550243 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1760739742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 CANNONADE DR",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461935",
"telephone_number": "732-754-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 CANNONADE DR",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461935",
"telephone_number": "732-754-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.