Physician Compare National (NPI:1750515623)

HEALTHCARE PROVIDER: ELI B MOSES MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1750515623
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951540848
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140918000065
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOSES
	Individual professional last name
Provider First Name	ELI
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	OMNI EYE SPECIALISTS P A
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0547150062
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	40
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 PASSAIC AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	FAIRFIELD
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070043563
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9734393937
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310076
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT BARNABAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310054
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HACKENSACKUMC MOUNTAINSIDE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y