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

Ryan Moore, MD

Individual provider Surgery Physician · NPI 1235541350

Ryan Moore, MD is a Colorectal Surgery (Proctology) in Hackensack, New Jersey. Graduated from Temple University School of Medicine in 2014, 12 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
12
Trained at
Temple University School of Medicine
Licensed in
NJ
In the registry since
2014
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

20 Prospect Ave Ste 404
Hackensack, NJ 07601-1941
Phone: (551) 996-4371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 25MA10834500 (NJ)
Surgery Physician Taxonomy 208600000X · Licence 25MA10834500 (NJ)

Record details

NPI number1235541350
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2014
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address20 Prospect Ave Ste 404, Hackensack, NJ 07601-1941

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hackensack