Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nancy Jayne Moontasri, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114378650

Dr. Nancy Jayne Moontasri, MD is a Hand Surgery in Paterson, New Jersey. Graduated from University of California, Davis School of Medicine in 2022, 4 years ago. Licensed in California and New Jersey.

Years since qualifying
4
Trained at
University of California, Davis School of Medicine
Licensed in
CA, NJ
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

703 Main St
Paterson, NJ 07503-2621
Phone: (973) 754-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Hand Surgery Physician (primary) Taxonomy 207XS0106X · Licence 171381 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NJ)

Record details

NPI number1114378650
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021
Mailing address4860 Y Street, Suite 3800, Sacramento, CA 95817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHAND SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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