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

Joseph J. Moisan, PA-C

Individual provider Surgical Physician Assistant · NPI 1669602835

Joseph J. Moisan, PA-C is a Physician Assistant in Worcester, Massachusetts. Qualified in 2009, 17 years ago. Practices with Reliant Medical Group Inc, a 638-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
17
Licensed in
MA, RI
In the registry since
2009
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

55 Lake Ave N Dept OF Neurosurgery
Worcester, MA 01655-0002
Phone: (508) 334-0605
Fax: (508) 334-5074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3806 (MA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3806 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA00508 (RI)

Record details

NPI number1669602835
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2009
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Reliant Medical Group Inc — 638 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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