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

Mary Moran, PA

Individual provider Physician Assistant · NPI 1922473867

Mary Moran, PA is a Physician Assistant in Hackettstown, New Jersey. Qualified in 2015, 11 years ago. Practices with North Jersey Sports Medicine and Orthopedic Center, LLC, a 28-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

108 Bilby Rd Ste 201
Hackettstown, NJ 07840
Phone: (908) 684-3005
Fax: (908) 684-3301
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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 25MP00384000 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00384000 (NJ)

Record details

NPI number1922473867
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 3, 2015
Last updated in NPPESDecember 3, 2015
Mailing address108 Bilby Road, Suite 201, Hackettstown, NJ 07840

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Jersey Sports Medicine And Orthopedic Center, Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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