1700960499 NPI number — ABEL E MOREYRA MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700960499 NPI number — ABEL E MOREYRA MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

MOREYRA

Provider First Name:

ABEL

Provider Middle Name:

E

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1700960499

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/08/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

66 W GILBERT ST

Provider Second Line Business Mailing Address:

2ND FLOOR

Provider Business Mailing Address City Name:

TINTON FALLS

Provider Business Mailing Address State Name:

NJ

Provider Business Mailing Address Postal Code:

07701-4947

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

732-212-0051

Provider Business Mailing Address Fax Number:

732-212-0713

Provider First Line Business Practice Location Address:

125 PATERSON ST STE 6100

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

NEW BRUNSWICK

Provider Business Practice Location Address State Name:

NJ

Provider Business Practice Location Address Postal Code:

08901-1962

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

322-356-5617

Provider Business Practice Location Address Fax Number:

732-235-6530

Provider Enumeration Date:

10/25/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 174400000X , with the licence number:  MA 29767 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207R00000X , with the licence number: 25MA02976700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207RI0011X , with the licence number: 25MA02976700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207RC0000X , with the licence number: 25MA02976700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1068895 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 1826881-006 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 34707 . This is a "BEECH STREET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 780222259 . This is a "HORIZON" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 060015479 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 197663 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 3646301 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
• Identifier: P786432 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: F04681 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 457865 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 10556 . This is a "UNIVERSITY HEALTH PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: 175887 . This is a "ONE HEALTH PLAN OF NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
• Identifier: MI0000298 01 . This is a "AMERICHOICE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".