DR. MANUEL JOAQUIN MOQUETE (NPI# 1568564102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568564102 |
| Entity Type | Individual |
| Full Name | DR. MANUEL JOAQUIN MOQUETE |
| Credential | M.D. |
| Practice Address |
246 Hamburg Tpke Ste 207 Wayne NJ 07470-2160 |
| Practice Telephone | 9736533366 |
| Practice Fax Number | 9736533365 |
| Mailing Telephone | 9736533366 |
| Mailing Fax Number | 9736533365 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2011-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MA61179 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH | 0072037000 | 01 |
| NJ | GHI | 8215828 | 01 |
| NJ | UNITED HEALTHCARE | 1996571 | 01 |
| NJ | AETNA | 5982636 | 01 |
| NJ | 6838405 | 05 | |
| NJ | RAIL ROAD MEDICARE | CC8414 | 01 |
| NJ | AMERICHOICE | 01000777000 | 01 |
| NJ | CIGNA | 0329258 | 01 |
| NJ | HORIZON NJ HEALTH | 1042675 | 01 |
| NJ | OXFORD | P1030791 | 01 |
| NJ | HEALTHNET | 2K9275 | 01 |
| NJ | AMERIGROUP | 52769 | 01 |
| Street Address |
246 HAMBURG TPKE STE 207 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033730536 | Jemima Carvajal | Nurse Practitioner | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2020-05-06 |
| 1942676267 | Vipulkumar M. Bhalara | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2015-08-20 |
| 1417351487 | Maya Fakhoury | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2014-10-20 |
| 1982028726 | George C. Bonifant | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2014-02-14 |
| 1629384821 | Meghna Desai | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104008994 | Robert Edward Gerhardt | Internal Medicine | 57 Crestline Rd, Wayne, PA 19087-2672 | 2007-12-04 |
| 1801906896 | North Jersey Nephrology Assoc. Pa | Internal Medicine | 246 Hamburg Turnpike, Suite#207, Wayne, NJ 07470 | 2006-08-30 |
| 1831176189 | Shazia Raza | Internal Medicine | 4020 Venoy Rd Ste 700, Wayne, MI 48184-1891 | 2005-12-28 |
| 1164413266 | Chnadra B Chandran | Internal Medicine | 246 Hamburg Tpke, Wayne, NJ 07470-2150 | 2005-10-30 |
| 1598762148 | Kevin Edwin Vitting | Internal Medicine | 342 Hamburg Tpke, Ste 201, Wayne, NJ 07470-2162 | 2005-06-28 |
| 1942676267 | Vipulkumar M. Bhalara | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2015-08-20 |
| 1417351487 | Maya Fakhoury | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2014-10-20 |
| 1982028726 | George C. Bonifant | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2014-02-14 |
| 1457619421 | Purna Bindu Nandigam | Internal Medicine | 246 Hamburg Tpke, Suite #207, Wayne, NJ 07470-2156 | 2012-04-27 |
| 1811285570 | Anjali Narain Masand | Internal Medicine | 246 Hamburg Tpke, Suite #207, Wayne, NJ 07470-2156 | 2011-07-15 |
| Find all providers in WAYNE | ||||
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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.