Individual provider Active NPI

Apig Jay Mosses

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
National Provider Identifier
1073892592
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
279256 Issued in NY
Practice address
355 Bard Ave
Staten Island, NY 10310-1664
Phone
(347) 215-4747
NPI assigned
Aug 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 279256 NY Primary

Addresses

Primary practice location

355 Bard Ave
Staten Island, NY 10310-1664

Mailing address

176A Netherland Ave
Staten Island, NY 10303-2508
Phone (347) 215-4747

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amosses150827@nyumc.direct-ci.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904001447 NY Practitioner - Obstetrics/Gynecology 2567778590 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279256NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Aug 1, 2015 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Nov 1, 2017 Accepting new patients
New York University CurrentSince Nov 1, 2017 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Apr 16, 2021 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Apr 12, 2021 Accepting new patients
NYU Langone Hospitals CurrentSince Dec 1, 2016 Accepting new patients
NYU Langone Hospitals CurrentSince Dec 1, 2016 Accepting new patients
Amboy Medical Practice PC Obstetrics & Gynecology CurrentSince Aug 1, 2015 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

1220 Avenue P
Brooklyn, NY 11229
Phone (718) 375-7546

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Networks

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

Interoperability endpoints

  • Direct secure messaging: amosses67344@northwell.direct-ci.com
  • Direct secure messaging: apig.mosses.1@7791.direct.athenahealth.com
  • Direct secure messaging: apig.mosses.p1@direct.ezramedical.nextgenshare.com

Organizations & group practices 10

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1073892592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176A NETHERLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032508",
            "telephone_number": "347-215-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "347-215-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSES",
        "first_name": "APIG",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "279256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amosses150827@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1220 Avenue P",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112291009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.