Organization Active NPI

Joel Moses MD PLLC

  • Specialist
  • Albany, NY
National Provider Identifier
1013082130
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
185876 Issued in NY
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
185876-OWOtherNYWORKERS COMP
DD4915OtherNYMEDICAID ID
2X4191OtherNYBLUE CROSS
01490606MedicaidNY
10071123OtherNYCDPHP
000403783002OtherNYBLUE SHIELD
362538OtherNYMVP
P00062301OtherNYRR MEDICARE

Other names 1

  • Infectious Diseases of Eastern Albany Other name

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.