Active NPI
Mzingaye Leeroy Gugulethu Moyo, M.D
- Hospitalist Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 301461
- Practice address
- First Avenue at 16TH Street
New York, NY 10003-0000 - Phone
- (212) 844-1808
- Fax
- (212) 420-2025
- NPI assigned
- Jul 4, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 40706 | IA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN14935 | FL | |
| Hospitalist Physician | 208M00000X | 301461 | NY | Primary |
Addresses
Primary practice location
First Avenue at 16TH Street
New York, NY 10003-0000
Mailing address
1 Gustave L Levy PL # 1118
New York, NY 10029-6504
Other practice location 1
281 1st Ave
New York, NY 10003-2925
Phone (212) 844-1808
Other practice location 2
3 S 4th Ave
Marshalltown, IA 50158-2924
Phone (641) 754-5997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40706 | IA | MD | Hospitalist Physician |
| TRN14935 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of New Jersey, PC | Hospitalist | Current | Accepting new patients |
| St Josephs Medical Group PC | Current | Accepting new patients | |
| St. Joseph'S Healthcare, Inc. | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Pennsylvania, P.C. | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
703 Main St
#P
Paterson, NJ 07503
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
281 1st Ave
New York, NY 10003
Phone (212) 844-1808
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1124550280
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1629304290
Hospitalist
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Internal Medicine Physician
- Somerset, PA
- NPI 1639464308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1093027245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL # 1118",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FIRST AVENUE AT 16TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100030000",
"telephone_number": "212-844-1808",
"fax_number": "212-420-2025"
}
],
"practiceLocations": [
{
"address_1": "281 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100032925",
"country_code": "US",
"telephone_number": "212-844-1808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 S 4th Ave",
"address_purpose": "LOCATION",
"city": "Marshalltown",
"state": "IA",
"postal_code": "501582924",
"country_code": "US",
"telephone_number": "641-754-5997",
"fax_number": "641-754-8001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOYO",
"first_name": "MZINGAYE",
"middle_name": "LEEROY GUGULETHU",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-04",
"last_updated": "2023-07-17",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IA",
"license": "40706",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN14935",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "301461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.