Nina Moadel, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

240487 Issued in NY

Practice address

45 N Station PLZ Ste 205
Great Neck, NY 11021-5031

Phone

(516) 628-7765

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Albert Einstein College of Medicine of Yeshiva University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Long Island Sound Psychiatry PLLC

  • Psychiatry Physician
  • Great Neck, NY
  • NPI 1023866514
  NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1063509842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N STATION PLZ STE 205",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215031",
            "telephone_number": "516-628-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N STATION PLZ STE 205",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215031",
            "telephone_number": "516-628-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOADEL",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "240487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Mirkinson, M.D.
• Alexander Mironov, MD
• Marlo Nanci Mittler, MS RD
• MJ Supplies It Inc
• MJG Spine Surgery PC
• Modern Audiology
• Modern Neurology, P.C.
• Priyal Ankit Modi
• Ellen Modlin, OTR
• Daniel Moezinia, DDS

• Psychiatry Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.

Verify at the official NPI Registry.