Individual provider Active NPI

Joseph Vincent Moran, D.O.

  • Internal Medicine Physician
  • Marlton, NJ
National Provider Identifier
1942734173
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB12239400 Issued in NJ
Practice address
Renaissance Square, 141 Route 70, Suite B
Marlton, NJ 08053
Phone
(856) 596-9057
Fax
(856) 596-0837
NPI assigned
Apr 13, 2017
Last updated
May 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT017547 PA
Internal Medicine Physician 207R00000X OS019523 PA
Internal Medicine Physician 207R00000X 25MB12239400 NJ Primary

Addresses

Primary practice location

Renaissance Square, 141 Route 70, Suite B
Marlton, NJ 08053

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 596-9057

Other practice location 1

1113 Hospital Dr Ste 305
Willingboro, NJ 08046-1130
Phone (856) 375-1288

Other practice location 2

107 Berlin Rd
Cherry Hill, NJ 08034-3526
Phone (856) 429-1800

Other practice location 3

6500 Kevin Johnson Blvd., Suite 100B
Bordentown, NJ 08505
Phone (609) 444-5404

Other practice location 4

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-3797

Other practice location 5

750 Route 73 Building 4, Suite 401
Marlton, NJ 08053
Phone (856) 375-1288

Other practice location 6

239 Hurffville Crosskeys Rd Ste 360A
Sewell, NJ 08080-4002
Phone (856) 341-8390

Other practice location 7

401 Young Ave Ste 245A
Moorestown, NJ 08057-3132
Phone (856) 235-4656

Other practice location 8

1000 Atlantic Ave Ste 205E
Camden, NJ 08104-1132
Phone (856) 596-9057

Other identifiers 1

IdentifierTypeStateIssuer
0757098MedicaidNJ

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address jmoran272865@directvirtua.org
Direct Messaging Address jmoran272865@directvirtua.org
Direct Messaging Address jmoran272865@directvirtua.org
Direct Messaging Address jmoran272865@directvirtua.org
Direct Messaging Address jmoran272865@directvirtua.org
Direct Messaging Address jmoran272865@directvirtua.org
Direct Messaging Address jmoran272865@directvirtua.org
Direct Messaging Address jmoran272865@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201008000934 PA Practitioner - Internal Medicine 3779851035 Reassigns benefits to 2 organizations
I20240726000254 NJ Practitioner - Pulmonary Disease 3779851035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

141 Route 70 E
Suite B
Marlton, NJ 08053-1855
Phone (856) 596-9057

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB12239400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Internal Medicine CurrentSince Jul 4, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 1, 2024 Accepting new patients
Virtua Medical Group, PA Internal Medicine Current Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 1, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 4, 2020 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1000 Atlantic Ave
Ste 205E
Camden, NJ 08104
Phone (856) 596-9057

107 Berlin Rd
Cherry Hill, NJ 08034
Phone (856) 429-1800

141 Route 70 E
Ste B
Marlton, NJ 08053
Phone (856) 596-9057

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

750 Route 73 S
Ste 401
Marlton, NJ 08053
Phone (856) 332-0767

239 Hurffville Crosskeys Rd
Ste 360A
Sewell, NJ 08080
Phone (856) 341-8390

1113 Hospital Dr
Ste 305
Willingboro, NJ 08046
Phone (609) 835-3624

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Interoperability endpoints

  • Direct secure messaging: jmoran272865@directvirtua.org
  • Direct secure messaging: joseph.moran@hca6.eclinicaldirectplus.com

Organizations & group practices 6

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 5

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1942734173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-596-9057",
            "fax_number": "856-596-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-596-9057",
            "fax_number": "856-596-0837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Hospital Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461130",
            "country_code": "US",
            "telephone_number": "856-375-1288",
            "fax_number": "856-375-2325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Berlin Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080343526",
            "country_code": "US",
            "telephone_number": "856-429-1800",
            "fax_number": "856-429-1081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 Kevin Johnson Blvd., Suite 100B",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "08505",
            "country_code": "US",
            "telephone_number": "609-444-5404",
            "fax_number": "609-444-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-662-3797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Route 73 Building 4, Suite 401",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-375-1288",
            "fax_number": "856-375-2325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 360A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804002",
            "country_code": "US",
            "telephone_number": "856-341-8390",
            "fax_number": "856-341-8131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Ste 245A",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573132",
            "country_code": "US",
            "telephone_number": "856-235-4656",
            "fax_number": "856-235-4786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Atlantic Ave Ste 205E",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081041132",
            "country_code": "US",
            "telephone_number": "856-596-9057",
            "fax_number": "856-596-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JOSEPH",
        "middle_name": "VINCENT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT017547",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS019523",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB12239400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0757098",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoran272865@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 245A",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoran272865@directvirtua.org",
            "affiliation": "N",
            "address_1": "Renaissance Square, 141 Route 70, Suite B",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoran272865@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 360A",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoran272865@directvirtua.org",
            "affiliation": "N",
            "address_1": "750 Route 73 Building 4, Suite 401",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoran272865@directvirtua.org",
            "affiliation": "N",
            "address_1": "107 Berlin Rd",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoran272865@directvirtua.org",
            "affiliation": "N",
            "address_1": "1113 Hospital Dr Ste 305",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoran272865@directvirtua.org",
            "affiliation": "N",
            "address_1": "6500 Kevin Johnson Blvd., Suite 100B",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoran272865@directvirtua.org",
            "affiliation": "N",
            "address_1": "1000 Atlantic Ave Ste 205E",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081041132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.