Individual provider Active NPI

Moshe Yalon, MD

  • Ophthalmology Physician
  • Hallandale Beach, FL
National Provider Identifier
1033130976
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 50141 Issued in FL
Practice address
2500 E Hallandale Beach Blvd
Suite N
Hallandale Beach, FL 33009-4834
Phone
(954) 457-7445
Fax
(954) 456-7469
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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 ME 50141 FL Primary

Addresses

Primary practice location

2500 E Hallandale Beach Blvd
Suite N
Hallandale Beach, FL 33009-4834

Mailing address

2500 E Hallandale Beach Blvd
Suite N
Hallandale Beach, FL 33009-4834
Phone (954) 457-7445

Other identifiers 5

IdentifierTypeStateIssuer
650160719OtherFLCIGNA
650160719OtherFLAETNA
650160719OtherFLUNITED
07761OtherFLBLUE CROSS BLUE SHEILD
054701801MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080301000026 FL Practitioner - Ophthalmology 4183708035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moshe Yalon MD PAGroup PAC ID 6406152743, 2 clinicians

Practice addresses (Care Compare)

2500 E Hallandale Beach Blvd
Suite N
Hallandale Beach, FL 33009-4833
Phone (954) 457-7445

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 50141FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moshe Yalon MD., PA Ophthalmology CurrentSince Jan 20, 2016 Accepting new patients

Locations

2500 E Hallandale Beach Blvd
Ste N
Hallandale Beach, FL 33009
Phone (954) 457-7445

Organizations & group practices 1

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1033130976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE N",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-457-7445",
            "fax_number": "954-456-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE N",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-457-7445",
            "fax_number": "954-456-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALON",
        "first_name": "MOSHE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 50141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "650160719",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "650160719",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "650160719",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "07761",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054701801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.