Individual provider Active NPI

Zohra Moshref, APN/FNP

  • Primary Care Nurse Practitioner
  • Englewood, NJ
National Provider Identifier
1093339848
Registry record updated Jun 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F05200798 Issued in TX
Practice address
140 Grand Ave
Englewood, NJ 07631-6581
Phone
(201) 569-9010
Fax
(201) 541-7942
NPI assigned
Jun 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F05200798 TX Primary

Addresses

Primary practice location

140 Grand Ave
Englewood, NJ 07631-6581

Mailing address

140 Grand Ave
Englewood, NJ 07631-6581
Phone (201) 569-9010

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221002325 NY Practitioner - Nurse Practitioner 4486024130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresh Meadows Physician Practice PLLCGroup PAC ID 0941657811, 33 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

10 Munson St
Le Roy, NY 14482-8933
Phone (585) 768-2561

1160 Teller Ave
Bronx, NY 10456-4145
Phone (310) 709-1236

Hospital & facility affiliations

  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05200798TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical PLLC CurrentSince Aug 1, 2024 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Nov 11, 2022 Accepting new patients
Fresh Meadows Physician Practice PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

1160 Teller Ave
Bronx, NY 10456
Phone (718) 215-4355

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

300 Grant Ave
Lake Katrine, NY 12449
Phone (845) 336-3500

10 Munson St
Le Roy, NY 14482
Phone (585) 591-6000

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1093339848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316581",
            "telephone_number": "201-569-9010",
            "fax_number": "201-541-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316581",
            "telephone_number": "201-569-9010",
            "fax_number": "201-541-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHREF",
        "first_name": "ZOHRA",
        "credential": "APN/FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "F05200798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.