Active NPI
Alexandra Lara Moskaluk, CNM
- Midwife
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- F001922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F001922 | NY | MD | Midwife |
| 001922 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guirguis Obstetrics & Gynecology, PLLC | Current | Accepting new patients | |
| Century Medical & Dental Center Inc | Current | 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
- alexandra.moskaluk.1@22846.direct.athenahealth.com
- 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.
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1356688220
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.