Claudiane Mouafo Madzoom, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P117491 Issued in NY

Practice address

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949

Phone

(718) 263-4600

NPI assigned

Oct 18, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1083330245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14128 247TH ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222134",
            "telephone_number": "929-318-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 GRAND CENTRAL PKWY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753949",
            "telephone_number": "718-263-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUAFO MADZOOM",
        "first_name": "CLAUDIANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "P117491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inessa Mosheyeva, M.S., CCC-SLP
• Lauren Catherine Moskowitz, LMSW
• Fatima Moslimani
• Moss Dermatology LLC
• Tamara Moss, M.D.
• Natali Moullaev
• Mariam M Mounir Jr.
• Dariush Moussai, MD
• Move More PT PC
• Terence Stephan Moy, MS, CCC-SLP

• Family Medicine Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.