CHARLES M MOSS (NPI# 1134274582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134274582 |
| Entity Type | Individual |
| Full Name | CHARLES M MOSS |
| Credential | MD |
| Practice Address |
240 Williamson St Suite 104 Elizabeth NJ 07202-3674 |
| Practice Telephone | 9089945480 |
| Practice Fax Number | 9089948802 |
| Mailing Telephone | 9089945480 |
| Mailing Fax Number | 9089948802 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MA29872 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565755 | Charles Esmond Moss | Pharmacist | 3171 District Avenue, Charlottesville, VA 22901-2784 | 2015-07-31 |
| 1497860936 | Charles Moss | Urology | 410 W Wesmark Blvd, Sumter, SC 29150-1983 | 2006-08-21 |
| 1962486829 | Charles Joseph Moss IIi | Nurse Anesthetist, Certified Registered | 715 N Weber St, Colorado Springs, CO 80903-1091 | 2005-12-05 |
| 1629228358 | Charles S. Moss | Pharmacist | 409 Mulberry Ave, Selmer, TN 38375-2307 | 2008-09-30 |
| 1841447406 | Charles Harrelson Moss IIi | Nurse Practitioner | 1825 Hurlburt Rd Ste 14, Fort Walton Beach, FL 32547-3737 | 2008-08-25 |
| 1215055207 | Charles Allen Moss | Family Medicine | 8950 Villa La Jolla Drive, A217, La Jollaa, CA 92037-1711 | 2007-03-27 |
| 1144259672 | Charles A Moss | Pediatrics | 95 Seaboard Ln, Suite 201, Brentwood, TN 37027-3031 | 2006-06-30 |
| Street Address |
240 WILLIAMSON ST SUITE 104 |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07202-3674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651113 | Jose Cruz Chua Jr. | Internal Medicine | 240 Williamson St, Suite 203, Elizabeth, NJ 07202-3674 | 2005-07-07 |
| 1629613021 | Elina Eksarko-bilbili | Internal Medicine | 240 Williamson St, Elizabeth, NJ 07202-3674 | 2019-11-10 |
| 1588221618 | Mary Beth Adams-toms | Nurse Practitioner | 240 Williamson St, Elizabeth, NJ 07202-3674 | 2019-05-23 |
| 1760997761 | Magdalena Pacanski | Nurse Practitioner | 240 Williamson St, Elizabeth, NJ 07202-3674 | 2017-12-12 |
| 1588048557 | Bridget Desmarais | Physician Assistant | 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3674 | 2015-07-19 |
| 1033503560 | Swati B Patel | Physician Assistant | 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3674 | 2015-03-23 |
| 1225439037 | Nj Med Pa | Non-Pharmacy Dispensing Site | 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3674 | 2014-09-11 |
| 1760817415 | Siddhipriya Inc | Pharmacy | 240 Williamson St, Suite # 101, Elizabeth, NJ 07202-3674 | 2013-09-12 |
| 1194162578 | Shellie Auguste | Podiatrist | 240 Williamson St, Suite 200, Elizabeth, NJ 07202-3674 | 2013-05-27 |
| 1154764595 | Premiere Nephrology and Hypertension LLC | Specialist | 240 Williamson St, Suite 405, Elizabeth, NJ 07202-3674 | 2013-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
| 1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
| 1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
| 1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
| 1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
| 1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
| 1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
| 1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
| 1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| Find all providers in zip 07202 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
| 1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
| 1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
| 1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
| 1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
| 1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
| 1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
| 1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
| 1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.