DR. NICHOLAS J MOFFA M.D. NPI 1831141167

NPI Information

  • NPI: 1831141167
  • Provider Name: DR. NICHOLAS J MOFFA, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: 26 CITY HALL MALL
    MEDFORD, MA
    ZIP 02155
  • Phone: (781) 306-5463

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NPI Details

DR. Nicholas J Moffa, M.D. is a child and adolescent psychiatry psychiatry neurology in Medford, MA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Nicholas J Moffa, M.D. NPI is 1831141167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26 CITY HALL MALL
MEDFORD, MA
ZIP 02155-754
Phone: (781) 306-5463
Fax: (781) 306-5379

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/11/2011.

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
12084P0800XPsychiatry & NeurologyPsychiatry235590MASSACHUSETTSNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry235590MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000751901MEDICARE PINMASSACHUSETTS

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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