Provider Demographics
NPI:1386649507
Name:MORALES, JAMES R (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 KENT RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2452
Mailing Address - Country:US
Mailing Address - Phone:732-901-2928
Mailing Address - Fax:732-901-3980
Practice Address - Street 1:49 KENT RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2452
Practice Address - Country:US
Practice Address - Phone:732-901-2928
Practice Address - Fax:732-901-3980
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA69005207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD076153OtherCDS
5342660001OtherMEDICARE DMERC
NJBM6615996OtherDEA
NJD076153OtherCDS
5342660001OtherMEDICARE DMERC