Individual provider Active NPI

Alexandra Lara Moskaluk, CNM

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1013561240
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001922 Issued in NY
Practice address
522 3Rd St
Brooklyn, NY 11215-3003
Phone
(929) 226-0169
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F001922 NY Primary

Addresses

Primary practice location

522 3Rd St
Brooklyn, NY 11215-3003

Mailing address

464 77TH Street Brooklyn, Ny 11209
Brooklyn, NY 11209
Phone (718) 836-2063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191107001141 NY Practitioner - Certified Nurse Midwife (CNM) 6305278631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians

Practice addresses (Care Compare)

180 Myrtle Ave
Brooklyn, NY 11201-7059
Phone (718) 650-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F001922NYMDMidwife
001922NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guirguis Obstetrics & Gynecology, PLLC CurrentSince Sep 16, 2019 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988

522 3rd St
Brooklyn, NY 11215
Phone (610) 639-5599

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

464 77th St
Brooklyn, NY 11209
Phone (718) 680-8383

Interoperability endpoints

  • Direct secure messaging: alexandra.moskaluk.1@22846.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25913/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1013561240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 77TH STREET BROOKLYN, NY 11209",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-836-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153003",
            "telephone_number": "929-226-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKALUK",
        "first_name": "ALEXANDRA",
        "middle_name": "LARA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.