Ryan Moore, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Hackensack, New Jersey. He went to Temple University School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and his current practice location is
20 Prospect Ave Ste 404, Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(551) 996-4371.
Ryan Moore is licensed to practice in New Jersey (license number 25MA10834500) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235541350.
Physician's Profile
Full Name | Ryan Moore |
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Gender | Male |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 11 Years |
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Location | 20 Prospect Ave Ste 404, Hackensack, New Jersey |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ryan Moore attended and graduated from Temple University School Of Medicine in 2014
NPI Data:
- NPI Number: 1235541350
- Provider Enumeration Date: 05/22/2014
- Last Update Date: 02/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072806868
- Enrollment ID: I20201006001284
Medical Identifiers
Medical identifiers for Ryan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235541350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 25MA10834500 (New Jersey) | Secondary |
208C00000X | Colon & Rectal Surgery | 25MA10834500 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1166 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ryan Moore allows following entities to bill medicare on his behalf.
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
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Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Moore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ryan Moore, MD 20 Prospect Ave Ste 404, Hackensack, NJ 07601-1941 Ph: (551) 996-4371 | Ryan Moore, MD 20 Prospect Ave Ste 404, Hackensack, NJ 07601-1941 Ph: (551) 996-4371 |
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