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Active NPI 1396786612 Individual Practitioner Male Practitioner

Michael K Moore , PA

Physician Assistant • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

Michael Moore, PA is a registered healthcare professional specializing in Physician Assistant in Hackensack, NJ. Practice services are available at 30 PROSPECT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave
Faculty Practice Office

Hackensack, NJ 076011914

Telephone 2014413349
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
106 Specialists

Practicing in Hackensack, NJ (3413 Statewide)

Telehealth Adoption Rate
6.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ MP000518

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Carlos Cesar , MD

Internal Medicine

NPI 1245286178

Doctor of Medicine (M.D.)

Dr. Vinita Manoraj , MD

Internal Medicine

NPI 1295781664

Doctor of Medicine (M.D.)

NPI 1396785796

Doctor of Medicine (M.D.)

Carol Cianci , APN

Clinical Nurse Specialist - Women's Health

NPI 1457559577

Advanced Practice Nurse

Tenzin Lama-Tamang , NP

Nurse Practitioner

NPI 1558572578

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 30 PROSPECT AVE, FACULTY PRACTICE OFFICE, HACKENSACK, NJ 076011914 (Tel: 2014413349)

📍
Updated Business Mailing Address July 08, 2007

Registered at 46 MADISON AVE, SUMMIT, NJ 079011555

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL MOORE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #MP000518 in NJ)

🟢
Initial NPI Registration & Enumeration June 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396786612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

46 Madison Ave

Summit, NJ 079011555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.