Individual provider Active NPI

Dovid Simcha Moradi, MD

  • Gastroenterology Physician
  • Elizabeth, NJ
National Provider Identifier
1972878239
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA10051300 Issued in NJ
Practice address
1150 Dickinson St
Elizabeth, NJ 07201-2210
Phone
(908) 354-8900
NPI assigned
Mar 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 25MA10051300 NJ Primary

Addresses

Primary practice location

1150 Dickinson St
Elizabeth, NJ 07201-2210

Mailing address

520 N Wood Ave
Linden, NJ 07036-4147
Phone (908) 587-9300

Other practice location 1

635 Market St
Newark, NJ 07105-3618
Phone (973) 344-5454

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
I20180710000008 NJ Practitioner - Gastroenterology 0941556724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Albert Einstein College of Medicine of Yeshiva University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

435 S St
Suite 200
Morristown, NJ 07960-6440
Phone (973) 822-0003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy119
Upper gastrointestinal (GI) endoscopy for acid reflux89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Cardiovascular Specialists P.C CurrentSince Aug 1, 2018 Accepting new patients
Practice Associates Medical Group CurrentSince Nov 1, 2021 Accepting new patients
NJ Urgentcare Past Accepting new patients

Locations

1125 US Highway 22
Ste 265
Bridgewater, NJ 08807
Phone (908) 522-5045

140 Central Ave
Clark, NJ 07066
Phone (732) 499-0606

1150 Dickinson St
Elizabeth, NJ 07201
Phone (201) 952-6520

520 N Wood Ave
Linden, NJ 07036
Phone (908) 587-1330

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

435 South St
Ste 200
Morristown, NJ 07960
Phone (973) 630-2250

635 Market St
Newark, NJ 07105
Phone (201) 952-6520

Interoperability endpoints

  • Direct secure messaging: dmoradi418605@direct.ahsys.org

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.

Hospital & facility affiliations 3

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1972878239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364147",
            "telephone_number": "908-587-9300",
            "fax_number": "908-587-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 DICKINSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012210",
            "telephone_number": "908-354-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Market St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071053618",
            "country_code": "US",
            "telephone_number": "973-344-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORADI",
        "first_name": "DOVID",
        "middle_name": "SIMCHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA10051300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.