SABREENA MOOSE PA-C NPI 1538090576

NPI Information

  • NPI: 1538090576
  • Provider Name: SABREENA MOOSE, PA-C
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • Address: 1680 ROUTE 23 STE 160
    WAYNE, NJ
    ZIP 07470
  • Phone: (973) 221-2500

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NPI Details

Sabreena Moose, PA-C is an adult medicine family medicine in Wayne, NJ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Sabreena Moose, PA-C NPI is 1538090576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1680 ROUTE 23 STE 160
WAYNE, NJ
ZIP 07470-512
Phone: (973) 221-2500

The enumeration date for this NPI number is 5/27/2026 and was last updated on 5/27/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine25MP01016000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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