Gaetan Moise (NPI# 1255580858, PAC ID# 8224224399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1255580858 |
| PAC ID by PECOS | 8224224399 |
| Professional Enrollment ID | I20101201000634 |
| Full Name | Gaetan Moise |
| Organization Legal Name | NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C. |
| Address |
1200 E Ridgewood Ave Ridgewood NJ 07450-3957 |
| Phone Number | 2013278600 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2004 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 2961405055 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310012 | VALLEY HOSPITAL |
| 310019 | ST JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| 310017 | CHILTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2013278600 | NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C. |
| 121 Hwy 36 W, Suite 330, West Long Branch, NJ 07764-1436 | 7322228866 | NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C. |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lydie Danielle Frederic | Physician Assistant | Neurosurgical Associates of New Jersey, P.C. | 121 Hwy 36 W, Suite 330, West Long Branch, NJ 07764-1436 |
| Ahsan Sattar | Neurology | Neurosurgical Associates of New Jersey, P.C. | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 |
| Ty James Olson | Neurosurgery | Neurosurgical Associates of New Jersey, P.C. | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 |
| Don Gourdine | Physician Assistant | Neurosurgical Associates of New Jersey, P.C. | 121 Hwy 36 W, Suite 330, West Long Branch, NJ 07764-1436 |
| Jonathan H Lustgarten | Neurosurgery | Neurosurgical Associates of New Jersey, P.C. | 121 Hwy 36 W, Suite 330, West Long Branch, NJ 07764-1436 |
| Luigi Bassani | Neurosurgery | Neurosurgical Associates of New Jersey, P.C. | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 |
| Kathleen A Bennett | Physician Assistant | Neurosurgical Associates of New Jersey, P.C. | 121 Hwy 36 W, Suite 330, West Long Branch, NJ 07764-1436 |
| Anthony L D Ambrosio | Neurosurgery | Neurosurgical Associates of New Jersey, P.C. | 121 Hwy 36 W, Suite 330, West Long Branch, NJ 07764-1436 |
| Dawn Marie Mcgrogan | Nurse Practitioner | Neurosurgical Associates of New Jersey, P.C. | 121 Hwy 36 W, Suite 330, West Long Branch, NJ 07764-1436 |
| Frederick R Tiencken | Physician Assistant | Neurosurgical Associates of New Jersey, P.C. | 121 Hwy 36 W, Suite 330, West Long Branch, NJ 07764-1436 |
| Street Address |
1200 E RIDGEWOOD AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip | 07450-3957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chidambaram Raman | General Surgery | Chidambaram Raman Md LLC | 1200 E Ridgewood Ave, Suite 203, Ridgewood, NJ 07450-3937 |
| Karen Duarte | Physician Assistant | Advanced Dermatology of New Jersey PC | 1200 E Ridgewood Ave, Ste. 211 2nd Floor, Ridgewood, NJ 07450-3937 |
| Jodie Hannah Katz | Family Medicine | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | |
| Ahsan Sattar | Neurology | Neurosurgical Associates of New Jersey, P.C. | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 |
| Ty James Olson | Neurosurgery | Neurosurgical Associates of New Jersey, P.C. | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 |
| Judy Y Hu | Dermatology | Advanced Dermatology of New Jersey PC | 1200 E Ridgewood Ave, Ste. 211 2nd Floor, Ridgewood, NJ 07450-3937 |
| Paige S Applebaum Farkas | Dermatology | Advanced Dermatology of New Jersey PC | 1200 E Ridgewood Ave, Ste. 211 2nd Floor, Ridgewood, NJ 07450-3937 |
| Elan B Singer | Plastic and Reconstructive Surgery | Advanced Dermatology of New Jersey PC | 1200 E Ridgewood Ave, Ste. 211 2nd Floor, Ridgewood, NJ 07450-3937 |
| Luigi Bassani | Neurosurgery | Neurosurgical Associates of New Jersey, P.C. | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 |
| James T Shammas | Neurology | Neurology Group of Bergen County Pa | 1200 E Ridgewood Ave, 2nd Floor East Wing Suite 208, Ridgewood, NJ 07450-3957 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Marchese Tumminello | Clinical Social Worker | 535 E Ridgewood, Suite 10, Ridgewood, NJ 07450 | |
| Josephine Jarolmen | Clinical Social Worker | 115 Pine St, Ridgewood, NJ 07450-1619 | |
| Jasmine Aloni Cohn | Clinical Social Worker | 115 Pine St, Suite 300, Ridgewood, NJ 07450-1619 | |
| Susan J Syvarth | Clinical Social Worker | 115 Pine St, Ridgewood, NJ 07450-1619 | |
| Bonnie Malajian | Clinical Social Worker | 428 Cambridge Rd, Ridgewood, NJ 07450-1805 | |
| Douglas Liva | Ophthalmology | Liva Eye Center LLC | 625 Franklin Tpke, Ridgewood, NJ 07450-1913 |
| Rosemary Frasco | Optometry | Liva Eye Center LLC | 625 Franklin Tpke, Ridgewood, NJ 07450-1913 |
| Mahros K Isaac | Physical Therapy | Progressive Rehab and Home Care Pt and Ot Pllc | 537 Banta St, Ridgewood, NJ 07450-1918 |
| Eui-sun L Yoon | Psychiatry | 589 Franklin Tpke, Suite 11, Ridgewood, NJ 07450-1928 | |
| Amy W. Stevens | Dermatology | Northern Bergen Dermatology Group Pa | 400 Route 17, Ridgewood, NJ 07450-2010 |
| Find all physicians in zip 07450 | |||
| City | RIDGEWOOD |
| Zip Code | 07450 |
| Specialty | NEUROSURGERY |
| City + Specialty | RIDGEWOOD + NEUROSURGERY |
Please comment or provide details below to improve the information on Gaetan Moise.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.