Basic Information
Provider Information
NPI: 1104458165
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAYS-DRECHSLER
FirstName: MOIRA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1945 ROUTE 33
Address2:  
City: NEPTUNE CITY
State: NJ
PostalCode: 07753
CountryCode: US
TelephoneNumber: 7327755500
FaxNumber:  
Practice Location
Address1: 1 RIVERVIEW PLZ
Address2:  
City: RED BANK
State: NJ
PostalCode: 077011864
CountryCode: US
TelephoneNumber: 7325302365
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/07/2020
LastUpdateDate: 12/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X26NJ00998600NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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