S MOOSA JAFFARI MDPA NPI 1720418049

NPI Information

  • NPI: 1720418049
  • Provider Name: S MOOSA JAFFARI MDPA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 814 RIVER AVE
    LAKEWOOD, NJ
    ZIP 08701
  • Phone: (732) 367-7707

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NPI Details

S MOOSA JAFFARI MDPA is a specialist in Lakewood, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. S MOOSA JAFFARI MDPA NPI is 1720418049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

814 RIVER AVE
LAKEWOOD, NJ
ZIP 08701-278
Phone: (732) 367-7707
Fax: (732) 367-7860

The provider's authorized official is Gail Gallagher .
The authorized official title is Office Manager and has the following contact phone number (732) 367-7707.

The enumeration date for this NPI number is 11/22/2013 and was last updated on 11/22/2013.

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
1174400000XSpecialist25MA02930800NEW 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: 3/30/2025

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