Active NPI
Niv Mor, M.D.
- Otolaryngology Physician
- New Providence, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 25MA10331100
- Practice address
- 550 Central Ave Ste 500
New Providence, NJ 07974-1505 - Phone
- (908) 795-1194
- NPI assigned
- Apr 1, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 272346-1 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | ||
| Otolaryngology Physician | 207Y00000X | 25MA10331100 | NJ | Primary |
Addresses
Primary practice location
550 Central Ave Ste 500
New Providence, NJ 07974-1505
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
99 Beauvoir Ave
Summit, NJ 07902-3533
Phone (908) 522-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272346 | NY | MD | Licensed Practical Nurse |
| 272346-1 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Practice Associates Medical Group | Current | Accepting new patients | |
| Maimonides Medical Center Maimonides Primary Care FPP | Past | Accepting new patients |
Locations
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130
550 Central Ave
Ste 500
New Providence, NJ 07974
Phone (908) 795-1192
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
11 Overlook Rd
Summit, NJ 07901
Phone (908) 273-1493
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
Interoperability endpoints
- nivmor@mai.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1013968593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1891937132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457",
"telephone_number": "844-362-1735",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 CENTRAL AVE STE 500",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079741505",
"telephone_number": "908-795-1194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOR",
"first_name": "NIV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-01",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "272346-1",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "25MA10331100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Providence, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.