Active NPIIndividual provider

Dr. Nicholas J Moffa, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Medford, Massachusetts

NPI Number1831141167
Practice location
26 City Hall Mall, Medford, MA 02155-4754
Fax
781-306-5379
Last updated
August 11, 2011

Nicholas J Moffa is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Medford, MA. Nicholas J Moffa practices in Medford, MA and has the professional credentials of MD. The NPI Number for Nicholas J Moffa is 1831141167 and holds a License No. 235590 (MA). The current practice location address for Nicholas J Moffa is 26 City Hall Mall, Medford, MA 02155-4754 and can be reached out via phone at 781-306-5463 and via fax at 781-306-5379.

Provider Profile Details

NPI Number
1831141167
Provider Name
Nicholas J Moffa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
26 City Hall Mall, Medford, MA 02155-4754
Phone Number
781-306-5463
Fax Number
781-306-5379
Sole Proprietor
No
Provider Enumeration Date
May 16, 2006
Last Update Date
August 11, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 City Hall Mall
Medford, MA 02155-4754
Zip
02155-4754
Phone Number
781-306-5463
Fax Number
781-306-5379
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
26 City Hall Mall
Medford, MA 02155
City
Medford
State
MA
Zip
02155
Phone Number
781-306-5463
Fax Number
781-306-5379

License Information

License Number (1)
235590
License State (1)
MA
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
235590
License State (2)
MA
Taxonomy (2)
Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · 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. Nicholas J Moffa, MD?

The NPI number of Dr. Nicholas J Moffa, MD is 1831141167. It was assigned on May 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicholas J Moffa, MD?

Dr. Nicholas J Moffa, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in MA under license number 235590.

Where does Dr. Nicholas J Moffa, MD practice?

The practice location is 26 City Hall Mall, Medford, MA 02155-4754. The office can be reached at 781-306-5463 (phone) or 781-306-5379 (fax).

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 1831141167 directly on the NPPES registry website.

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