Individual provider Active NPI

Andrew T Moorhouse, PA-C

  • Physician Assistant
  • Rockaway, NJ
National Provider Identifier
1912593997
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00601700 Issued in NJ
Practice address
35 Green Pond Rd
Rockaway, NJ 07866-2052
Phone
(973) 625-0600
NPI assigned
Dec 14, 2020
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00601700 NJ Primary

Addresses

Primary practice location

35 Green Pond Rd
Rockaway, NJ 07866-2052

Mailing address

103 Kresson Gibbsboro Rd
Voorhees, NJ 08043-9567
Phone (856) 776-1385

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201222001395 NJ Practitioner - Physician Assistant 2264844927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr.Andrea S.Buck PCGroup PAC ID 7416980099, 4 clinicians

Practice addresses (Care Compare)

103 Old Marlton Pike
Medford, NJ 08055-8772
Phone (609) 714-0202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.33 of 100Reported as group
Quality
93.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: amoorhouse@bcderm.emadirect.md

Organizations & group practices 1

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 2

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1912593997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 KRESSON GIBBSBORO RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439567",
            "telephone_number": "856-776-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GREEN POND RD",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662052",
            "telephone_number": "973-625-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHOUSE",
        "first_name": "ANDREW",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00601700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.