Individual provider Active NPI

Kambiz Thomas Moazed, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1023056512
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
149314 Issued in NY
Practice address
4337 Broadway
New York, NY 10033-2411
Phone
(212) 568-6300
Fax
(516) 542-5556
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 149314 NY Primary

Addresses

Primary practice location

4337 Broadway
New York, NY 10033-2411

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

21 East 22nd Street
New York, NY 10010-9995
Phone (212) 460-7800

Other practice location 2

215 East 95th Street
New York, NY 10128-4007
Phone (212) 996-8000

Other practice location 3

215 West 125th Street, 2nd Floor
New York, NY 10027-4426
Phone (212) 491-2400

Other identifiers 1

IdentifierTypeStateIssuer
00853269MedicaidNY

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603001128 NY Practitioner - Ophthalmology 1254313117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

215 E 95TH St
New York, NY 10128-4077
Phone (212) 996-8000

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
149314NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Manhattan'S Physician Group Past Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

215 W 125th St
New York, NY 10027
Phone (212) 491-2400

215 W 125th St
Fl 2
New York, NY 10027
Phone (212) 491-2400

590 5th Ave
New York, NY 10036
Phone (212) 582-7117

4337 Broadway
New York, NY 10033
Phone (212) 523-5201

215 E 95th St
New York, NY 10128
Phone (212) 423-3111

55 Water St
Fl 2
New York, NY 10041

21 E 22nd St
New York, NY 10010
Phone (212) 460-7800

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: kmoazed68953@northwell.direct-ci.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: kmoazed3643@direct.acpny.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1023056512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332411",
            "telephone_number": "212-568-6300",
            "fax_number": "516-542-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 East 22nd Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100109995",
            "country_code": "US",
            "telephone_number": "212-460-7800",
            "fax_number": "212-460-7877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 East 95th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101284007",
            "country_code": "US",
            "telephone_number": "212-996-8000",
            "fax_number": "212-423-3127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 West 125th Street, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274426",
            "country_code": "US",
            "telephone_number": "212-491-2400",
            "fax_number": "212-491-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOAZED",
        "first_name": "KAMBIZ",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "149314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00853269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.