Active NPI
Harriette Rosen Mogul, MD
- Endocrinology, Diabetes & Metabolism Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 104864
- Practice address
- 401 Columbus Ave Lowr Level
Valhalla, NY 10595-1326 - Phone
- (914) 347-0162
- Fax
- (914) 347-4401
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 104864 | NY | Primary |
Addresses
Primary practice location
401 Columbus Ave Lowr Level
Valhalla, NY 10595-1326
Mailing address
401 Columbus Ave Lowr Level
Valhalla, NY 10595-1326
Phone (914) 473-0162
Other practice location 1
95 Grasslands Rd
Nymc - Dept of Medicine-Munger Pavilion
Valhalla, NY 10595
Phone (914) 594-4245
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110063317 | Other | RAILROAD MEDICARE | |
| WP341 | Other | NY | OXFORD |
| 01415443 | Medicaid | NY |
Other names 1
- Dr. Harriette Rosrn Mogul
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Intensivists, PC | Current | Accepting new patients |
Locations
672 Stoneleigh Ave
Bldg 66
Carmel, NY 10512
Phone (914) 347-0162
19 Bradhurst Ave
#1700
Hawthorne, NY 10532
Phone (914) 347-0162
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
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.
-
- Surgery Physician
- Hawthorne, NY
- NPI 1164423034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1043234693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 COLUMBUS AVE LOWR LEVEL",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951326",
"telephone_number": "914-473-0162",
"fax_number": "914-347-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 COLUMBUS AVE LOWR LEVEL",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951326",
"telephone_number": "914-347-0162",
"fax_number": "914-347-4401"
}
],
"practiceLocations": [
{
"address_1": "95 GRASSLANDS RD",
"address_2": "NYMC - DEPT OF MEDICINE-MUNGER PAVILION",
"address_purpose": "LOCATION",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"country_code": "US",
"telephone_number": "914-594-4245",
"fax_number": "914-594-4434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOGUL",
"first_name": "HARRIETTE",
"middle_name": "ROSEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "104864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110063317",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "WP341",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01415443",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HARRIETTE",
"last_name": "MOGUL",
"middle_name": "ROSRN",
"prefix": "DR.",
"credential": "MD MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.