MATTHEW MOORE (NPI# 1679950893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679950893 |
| Entity Type | Individual |
| Full Name | MATTHEW MOORE |
| Credential | D.O. |
| Practice Address |
65 James St Edison NJ 08820-3903 |
| Practice Telephone | 7323217000 |
| Mailing Telephone | 7323217000 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0301X |
Physical Medicine & Rehabilitation Specialization: Brain Injury Medicine |
25MB10515100 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285173138 | Matthew Moore | Specialist/Technologist | 287 Rivers St, Boone, NC 28608-0001 | 2017-02-13 |
| 1649440959 | Matthew D. Moore | Radiology | Uva Children's Hospital @ The Battle Bldg, Charlottesville, VA 22908-4617 | 2008-03-04 |
| 1437105640 | Matthew Gresser Moore | Family Medicine | 12369 E Michigan Ave, Grass Lake, MI 49240-9213 | 2006-05-26 |
| 1861489056 | Matthew R. Moore | Neurological Surgery | 1930 Ne 47th St, Suite 200, Fort Lauderdale, FL 33308-7718 | 2005-10-03 |
| 1932727708 | Matthew Moore | Student in an Organized Health Care Education/Training Program | 234 E 85th St, New York, NY 10028-3001 | 2020-07-08 |
| 1558829234 | Matthew Moore | Case Manager/Care Coordinator | 100 E 33rd St Ste 201b, Vancouver, WA 98663-2776 | 2019-03-12 |
| 1205358801 | Matthew Stephen Moore | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-07-14 |
| 1568990224 | Matthew Thomas Moore | Registered Nurse | 200 University Rdg, Greenville, SC 29601-3635 | 2017-05-25 |
| 1588191977 | Matthew Brian Moore | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2017-05-16 |
| 1912351123 | Matthew Moore | Anesthesiology | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2016-04-14 |
| Street Address |
65 JAMES ST |
| City | EDISON |
| State | NJ |
| Zip Code | 08820-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559763 | Divya Gupta | Psychiatry & Neurology | 65 James St, Edison, NJ 08820-3947 | 2005-06-22 |
| 1073112199 | Katelynn Onulak | Registered Nurse | 65 James St, Edison, NJ 08820-3947 | 2020-10-20 |
| 1609481308 | Gladwin Kemunto Omare | Nurse Practitioner | 65 James St, Edison, NJ 08820-3947 | 2020-09-10 |
| 1457979619 | Marc Habib | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-07-13 |
| 1588281935 | Mary Christine Fahmy | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-07-01 |
| 1629693080 | Shivam Mukul Patel | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-06-11 |
| 1366065799 | Joshua Haimi | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-20 |
| 1598387177 | Pujitha Talasila | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-17 |
| 1639791635 | Alycia Chinai | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-12 |
| 1316569452 | Samuel Uzosike | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
| Find all providers in zip 08820 | ||||
| Taxonomy Code | 2081P0301X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Brain Injury Medicine |
| A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences. |
| Notes: Source: American Board of Physical Medicine and Rehabilitation, 2015. www.abpmr.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811260151 | Leroy Raphael Lindsay | Physical Medicine & Rehabilitation | 30 Bergen St # 101, Newark, NJ 07107-3000 | 2012-02-16 |
| 1912325010 | Paul K. Yoo | Physical Medicine & Rehabilitation | 300 Market St, Saddle Brook, NJ 07663-5318 | 2014-04-04 |
| 1902148257 | Ondrea Mckay | Physical Medicine & Rehabilitation | 90 Bergen Street, Doc 3100, Newark, NJ 07103 | 2013-03-25 |
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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.