Ms. Rumantha Moody
Internist - Addiction Medicine
1 Lower Main Street
South Amboy
, New Jersey 08879
Ms. Rumantha Moody
Internist - Addiction Medicine
1 Lower Main Street
South Amboy
, New Jersey 08879
(973) 509-5782
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Ms. Rumantha Moody
- 65 Hawthorne Pl G-2
- Montclair, NJ
- Zip : 07042-2621
- Phone : (973) 509-5782
Second Address
- Ms. Rumantha Moody
- 1 Lower Main Street
- South Amboy, NJ
- Zip : 08879
- Fax : (732) 727-0255
- Phone : (732) 727-2555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 32707 | NJ |
National Provider Identifier
| NPI | 1891820254 |
|---|---|
| Provider Name | Ms. Rumantha Moody |
| First Address | Montclair, NJ 07042-2621 |
| Second Address | South Amboy, NJ 08879 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1074504 | (05) | NJ |
| C55014 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.