Individual provider Active NPI

Marina Moshkovich, MD

  • Prescribing (Medical) Psychologist
  • Trenton, NJ
National Provider Identifier
1891957379
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
MAO7547000 Issued in NJ
Practice address
NJSP Third and Cass Street
Trenton, NJ 08625
Phone
(609) 292-9700
Fax
(609) 656-8076
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X MAO7547000 NJ Primary

Addresses

Primary practice location

NJSP Third and Cass Street
Trenton, NJ 08625

Mailing address

PO Box 863
Trenton, NJ 08625-0863
Phone (609) 292-9700

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
I20040116000215 NJ Practitioner - PsychiatryPractitioner - Other (Physician) 6901707553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Medical Care,PCGroup PAC ID 0941274716, 12 clinicians

Practice addresses (Care Compare)

100 Belchase Dr
Suite 101
Matawan, NJ 07747-9728
Phone (732) 707-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MAO7547000NJMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Medical Care,PC CurrentSince Jan 25, 2020 Accepting new patients
Medical Monitoring Past Accepting new patients

Locations

100 Belchase Dr
Ste 101
Matawan, NJ 07747
Phone (732) 290-1660

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1891957379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086250863",
            "telephone_number": "609-292-9700",
            "fax_number": "609-656-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NJSP THIRD AND CASS STREET",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08625",
            "telephone_number": "609-292-9700",
            "fax_number": "609-656-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHKOVICH",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NJ",
            "license": "MAO7547000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.