Active NPIIndividual provider

Dr. Sergey Moldavskiy, DO

Anesthesiology in Mount Holly, New Jersey

NPI Number1093003253
Practice location
175 Madison Ave Fl 1, Mount Holly, NJ 08060-2099
Fax
—
Last updated
November 10, 2025

Sergey Moldavskiy is an Anesthesiology based in Mount Holly, NJ. Sergey Moldavskiy practices in Mount Holly, NJ and has the professional credentials of DO. The NPI Number for Sergey Moldavskiy is 1093003253 and holds a License No. 054827 (CT). The current practice location address for Sergey Moldavskiy is 175 Madison Ave Fl 1, Mount Holly, NJ 08060-2099 and can be reached out via phone at 609-914-6000.

Provider Profile Details

NPI Number
1093003253
Provider Name
Sergey Moldavskiy
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
175 Madison Ave Fl 1, Mount Holly, NJ 08060-2099
Phone Number
609-914-6000
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2011
Last Update Date
November 10, 2025
Certification Date
November 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Madison Ave Fl 1
Mount Holly, NJ 08060-2099
Zip
08060-2099
Phone Number
609-914-6000
Mount Holly, NJ 08060Get directions →

Provider Business Mailing Address Details

Address
Po Box 26960
New York, NY 10087-6960
City
New York
State
NY
Zip
10087-6960
Phone Number
856-359-7201

License Information

License Number (1)
054827
License State (1)
CT
Taxonomy (1)
Anesthesiology · 207L00000X
License Number (2)
252128
License State (2)
MA
Taxonomy (2)
Anesthesiology · 207L00000X
License Number (3)
25MB10498900
License State (3)
NJ
Taxonomy (3)
Anesthesiology · 207L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sergey Moldavskiy, DO?

The NPI number of Dr. Sergey Moldavskiy, DO is 1093003253. It was assigned on July 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Sergey Moldavskiy, DO?

Dr. Sergey Moldavskiy, DO is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in CT under license number 054827.

Where does Dr. Sergey Moldavskiy, DO practice?

The practice location is 175 Madison Ave Fl 1, Mount Holly, NJ 08060-2099. The office can be reached at 609-914-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093003253 directly on the NPPES registry website.

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