Moustapha Deddich Jr.
Individual provider Active NPI Interpreter · Brooklyn, NY
NPI 1033071758 · NPPES record last updated Dec 1, 2025
Key facts
- NPI
- 1033071758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interpreter 171R00000X
- Practice address
- 752 Glenmore Ave # 1B
Brooklyn, NY 11208-2226 - Phone
- (317) 400-2614
- NPI assigned
- Dec 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interpreter |
171R00000X | NY | Yes |
Addresses
Primary practice location
752 Glenmore Ave # 1B
Brooklyn, NY 11208-2226
Mailing address
752 Glenmore Ave # 1B
1B Basement
Brooklyn, NY 11208-2226
Phone (317) 400-2614
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.