Individual provider Active NPI

Michael Nathan Moskowitz, DC

  • Chiropractor
  • Bethesda, MD
National Provider Identifier
1073718110
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01304 Issued in MD
Practice address
5415 West Cedar Lane
Suite 105-B
Bethesda, MD 20814-1515
Phone
(301) 530-0802
Fax
(301) 530-1787
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01304 MD Primary
Physical Therapist 225100000X 01304 MD

Addresses

Primary practice location

5415 West Cedar Lane
Suite 105-B
Bethesda, MD 20814-1515

Mailing address

5415 West Cedar Lane
Suite 105-B
Bethesda, MD 20814-1515
Phone (301) 530-0802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000274 DC Practitioner - Chiropractic 9234327677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5415 W Cedar Lane
Suite 105B
Bethesda, MD 20814-1515

5415 W Cedar LN
Suite 105B
Bethesda, MD 20814-1515
Phone (301) 530-0802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01304MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael N Moskowitz DC PA Chiropractor CurrentSince May 1, 1986 Accepting new patients

Locations

5415 W Cedar Ln
Ste 105B
Bethesda, MD 20814
Phone (301) 530-0802

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1073718110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 WEST CEDAR LANE",
            "address_2": "SUITE 105-B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141515",
            "telephone_number": "301-530-0802",
            "fax_number": "301-530-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 WEST CEDAR LANE",
            "address_2": "SUITE 105-B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141515",
            "telephone_number": "301-530-0802",
            "fax_number": "301-530-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "MICHAEL",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01304",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "01304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.