Active NPI
Joel Moses MD PLLC
- Specialist
- Albany, NY
National Provider Identifier
1013082130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 185876
- Legal business name
- JOEL MOSES MD PLLC
- Practice address
- 350 Northern Blvd
Suite 108
Albany, NY 12204-1000 - Phone
- (518) 462-9675
- Fax
- (518) 729-3444
- NPI assigned
- Nov 22, 2006
- Last updated
- Mar 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joel E Moses, M.D.
- Title
- Owner
- Phone
- (518) 462-9675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 185876 | NY | Primary |
Addresses
Primary practice location
350 Northern Blvd
Suite 108
Albany, NY 12204-1000
Mailing address
350 Northern Blvd
Suite 108
Albany, NY 12204-1000
Phone (518) 462-9675
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185876-OW | Other | NY | WORKERS COMP |
| DD4915 | Other | NY | MEDICAID ID |
| 2X4191 | Other | NY | BLUE CROSS |
| 01490606 | Medicaid | NY | |
| 10071123 | Other | NY | CDPHP |
| 000403783002 | Other | NY | BLUE SHIELD |
| 362538 | Other | NY | MVP |
| P00062301 | Other | NY | RR MEDICARE |
Other names 1
- Infectious Diseases of Eastern Albany
National Provider Directory
National Provider DirectoryLocations
350 Northern Blvd
Ste 108
Albany, NY 12204
Phone (518) 462-9675
350 Northern Blvd
Ste 205
Albany, NY 12204
Phone (518) 434-0494
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Albany, NY
- NPI 1508049602
-
- Clinical Social Worker
- Albany, NY
- NPI 1972697811
-
- Psychiatry Physician
- Albany, NY
- NPI 1568479889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331251200000",
"number": "1013082130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NORTHERN BLVD",
"address_2": "SUITE 108",
"city": "ALBANY",
"state": "NY",
"postal_code": "122041000",
"telephone_number": "518-462-9675",
"fax_number": "518-729-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NORTHERN BLVD",
"address_2": "SUITE 108",
"city": "ALBANY",
"state": "NY",
"postal_code": "122041000",
"telephone_number": "518-462-9675",
"fax_number": "518-729-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOEL MOSES MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2012-03-09",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-462-9675",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "185876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "185876-OW",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID ID",
"identifier": "DD4915",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2X4191",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01490606",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10071123",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000403783002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "362538",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00062301",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Infectious Diseases of Eastern Albany",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albany, NY
- Yuan Kenneth Jin, DPT
- JK Physical Therapy of Albany, PLLC
- Jo Wellness (Rooted Pilates and Wellness)
- Roberto Joaquin-Reyes, ACNP-BC
- Joel M. Spiro, M.D., P.C.
- Heather Johanson, D.O.
- Joyce Marie Johansson, RN
- Amritpal Singh Johar, DMD
- John B Garrett Inc
- John V Murphy Physical Therapy, PC (Core Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.