Parviz Moazami,M.D. LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

25MA05018800 Issued in NJ

Legal business name

PARVIZ MOAZAMI,M.D. LLC

Practice address

7000 Boulevard East
Guttenberg, NJ 07093-4818

Phone

(201) 868-8400

NPI assigned

Sep 11, 2007

Last updated

Sep 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Parviz Moazami, M.D.NPI 1700890217

Title

M.D. LLC

Phone

(201) 868-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parviz Moazami, M.D.

  • Specialist
  • Guttenberg, NJ
  • NPI 1700890217
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1770778979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 BOULEVARD EAST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934818",
            "telephone_number": "201-868-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 BOULEVARD EAST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934818",
            "telephone_number": "201-868-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARVIZ MOAZAMI,M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "MOAZAMI",
        "authorized_official_first_name": "PARVIZ",
        "authorized_official_title_or_position": "M.D. LLC",
        "authorized_official_telephone_number": "201-868-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "25MA05018800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Our Birthing Center on the Hudson LLC
• Maria Virginia Padron, M.D.
• Palisade Operations, LLC (Palisade Healthcare)
• Aaron Manuel Parada, DDS
• Jorge Luis Parrales, RPH
• Komal R Patel-Dilwali, CNM, WHNP-BC
• Paresh M Patel, PHARMACITS
• Pegasus Dental Center
• Ally Alvareny Pena
• Pharmacy Value Inc

• Preferred Provider Organization in Guttenberg, NJ
• Providers in Guttenberg, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.

Verify at the official NPI Registry.