S MOOSA JAFFARI MD PA
NPI 1477794972
Otolaryngology in Lakewood, NJ

Active since March 12, 2009
814 RIVER AVE., LAKEWOOD, NJ 08701(732) 367-7707(732) 367-7860 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About S Moosa Jaffari Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S MOOSA JAFFARI MD PA (NPI 1477794972), doing business as Moosa Jaffari Md Pa, is a healthcare organization registered as an otolaryngology in Lakewood, New Jersey and active in the NPI registry since March 2009. The organization lists S Moosa Jaffari, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1477794972
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameS MOOSA JAFFARI MD PA
Location Address814 RIVER AVE.Lakewood, NJ 08701
Mailing Address814 River Ave.Lakewood, NJ 08701 · (732) 367-7707 · Fax (732) 367-7860
Fax(732) 367-7860
Organization SubpartNo
Authorized OfficialS Moosa JaffariAuthorized Official · (732) 367-7707
Enumeration DateMarch 12, 2009
Last NPPES UpdateJuly 21, 2022
✔ NPI 1477794972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NJ · 25MA02930800
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
814 RIVER AVE., Lakewood, NJ 08701

Other Names 1

Former Legal Business NameMoosa Jaffari Md Pa

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

S Moosa Jaffari Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to S Moosa Jaffari MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Otolaryngology
NPI 1063526168
814 RIVER AVE
Lakewood, NJ 08701
(732) 367-7707
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S Moosa Jaffari MD PA's NPI number?

The NPI number for S Moosa Jaffari MD PA is 1477794972. It was assigned to this organization in the NPPES registry on March 12, 2009. The provider was formerly known as Moosa Jaffari MD PA.

Where is S Moosa Jaffari MD PA located?

S Moosa Jaffari MD PA is located at 814 River Ave., Lakewood, NJ 08701. The listed phone number is (732) 367-7707.

What is S Moosa Jaffari MD PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is S Moosa Jaffari MD PA enrolled in Medicare?

Yes. S Moosa Jaffari MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S Moosa Jaffari MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to S Moosa Jaffari MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for S Moosa Jaffari MD PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.