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

Zachery James Moran

Individual provider Physician Assistant · NPI 1427761642

Zachery James Moran is a Physician Assistant in Newark, New Jersey. Qualified in 2023, 3 years ago. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023

Practice location Address checks out

205 S Orange Ave
Newark, NJ 07103-2785
Phone: (973) 972-2151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00827200 (NJ)

Record details

NPI number1427761642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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