John P Moschello, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

023988 Issued in CT

Practice address

130 S Main St
Thomaston, CT 06787-1741

Phone

(860) 283-0286

Fax

(203) 575-5119

NPI assigned

Jan 10, 2006

Last updated

Jun 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnmoschello@amggw.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prospect CT Medical Foundation, Inc.

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1144677568

  Internal Medicine

  Medicare reassignment NPD
• John P. Moschello, MD, PC

  • Internal Medicine Physician
  • Watertown, CT
  • NPI 1700046083
  Authorized official Same address or phone
• Alliance Medical Group of Greater Waterbury PC

  • Internal Medicine Physician
  • Middlebury, CT
  • NPI 1750306015
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1073592978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 MOUNT FAIR DR",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951661",
            "telephone_number": "860-274-0674",
            "fax_number": "860-945-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871741",
            "telephone_number": "860-283-0286",
            "fax_number": "203-575-5119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "594 Mount Fair Dr",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "CT",
            "postal_code": "067951661",
            "country_code": "US",
            "telephone_number": "860-274-0674",
            "fax_number": "860-945-6614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSCHELLO",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "023988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "061331790",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OR0625",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST LIFE",
            "identifier": "061331790",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "061331790",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001239880",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "010023988CT09",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "023988",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE FAMILY PLAN",
            "identifier": "00123988000",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana A Marques, LCSW
• Andrew James Matusiak
• MGR Wellness Counseling LLC
• Neil Miller, MD
• Sarah Moodie, LCSW
• Nicole Hennessy LCSW PLLC
• Northwest Medical Supply, LLC
• Colette Norton, LCSW
• Jamilynn S Novo, RN
• Scott Paul Ogurick, MS, LPC

• Internal Medicine Physician in Thomaston, CT
• Providers in Thomaston, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.

Verify at the official NPI Registry.