Active NPIIndividual provider

Dr. Nancy J Moontasri, MD

Orthopaedic Surgery in Ridgewood, New Jersey

NPI Number1114378650
Practice location
106 Prospect St Ste 2, Ridgewood, NJ 07450-4433
Fax
—
Last updated
October 5, 2026

Nancy Jayne Moontasri is an Orthopaedic Surgery based in Ridgewood, NJ. Nancy Jayne Moontasri practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Nancy Jayne Moontasri is 1114378650 and holds a License No. 171381 (CA). The current practice location address for Nancy Jayne Moontasri is 106 Prospect St Ste 2, Ridgewood, NJ 07450-4433 and can be reached out via phone at 551-278-9776.

Provider Profile Details

NPI Number
1114378650
Provider Name
Nancy Jayne Moontasri
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
106 Prospect St Ste 2, Ridgewood, NJ 07450-4433
Phone Number
551-278-9776
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2016
Last Update Date
October 5, 2026
Certification Date
October 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
106 Prospect St Ste 2
Ridgewood, NJ 07450-4433
Zip
07450-4433
Phone Number
551-278-9776
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1 Mars CT Ste 1
Boonton Twp, NJ 07005-2422
City
Boonton Twp
State
NJ
Zip
07005-2422
Phone Number
551-278-9776

License Information

License State (1)
NJ
License Number (2)
171381
License State (2)
CA
Taxonomy (2)
Orthopaedic Surgery, Hand Surgery · 207XS0106X
License Number (3)
25MA11609600
License State (3)
NJ
Taxonomy (3)
Orthopaedic Surgery · 207X00000X · 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. Nancy J Moontasri, MD?

The NPI number of Dr. Nancy J Moontasri, MD is 1114378650. It was assigned on June 27, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Nancy J Moontasri, MD?

Dr. Nancy J Moontasri, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in CA under license number 171381.

Where does Dr. Nancy J Moontasri, MD practice?

The practice location is 106 Prospect St Ste 2, Ridgewood, NJ 07450-4433. The office can be reached at 551-278-9776 (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 1114378650 directly on the NPPES registry website.

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