Individual provider Active NPI

Vaishali C. Moghe, MD

  • Obstetrics & Gynecology Physician
  • Lakewood, NJ
National Provider Identifier
1871538520
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08796700 Issued in NJ
Practice address
101 Second Street
Lakewood, NJ 08701-3324
Phone
(732) 363-6655
Fax
(732) 901-0277
NPI assigned
Jun 17, 2006
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08796700 NJ Primary

Addresses

Primary practice location

101 Second Street
Lakewood, NJ 08701-3324

Mailing address

101 Second Street
Lakewood, NJ 08701-3324
Phone (732) 363-6655

Other identifiers 1

IdentifierTypeStateIssuer
0294764MedicaidNJ

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
I20120604000096 NJ Practitioner - Obstetrics/Gynecology 5294771267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Woman's Place LLCGroup PAC ID 4688681059, 11 clinicians

Practice addresses (Care Compare)

34 Sycamore Ave
Suite 2a
Little Silver, NJ 07739-1248
Phone (732) 747-9310

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives Inc Obstetrics & Gynecology Current Accepting new patients
A Woman's Place, LLC Obstetrics & Gynecology CurrentSince Sep 28, 2018 Accepting new patients
Barnabas Health Medical Group, PC PastSince Mar 10, 2021 Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients

Locations

310 State Route 34
Ste 1
Colts Neck, NJ 07722
Phone (732) 901-0211

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

820 County Line Rd E
Lakewood, NJ 08701
Phone (732) 364-2711

34 Sycamore Ave
Ste 2A
Little Silver, NJ 07739
Phone (732) 747-9310

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/sqiH60CNKO9o0PByEO9XAxX0dZX5s5b2/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1871538520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SECOND STREET",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013324",
            "telephone_number": "732-363-6655",
            "fax_number": "732-901-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SECOND STREET",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013324",
            "telephone_number": "732-363-6655",
            "fax_number": "732-901-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHE",
        "first_name": "VAISHALI",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08796700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0294764",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.