Individual provider Active NPI

Meredith Moser, DO

  • Psychiatry Physician
  • Huntington, NY
National Provider Identifier
1114487295
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
321028 Issued in NY
Practice address
181 Main St Ste 103
Huntington, NY 11743-6918
Phone
(631) 268-4321
Fax
(231) 220-9806
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 321028 NY Primary

Addresses

Primary practice location

181 Main St Ste 103
Huntington, NY 11743-6918

Mailing address

181 Main St Ste 103
Huntington, NY 11743-6918
Phone (631) 268-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 10, 2025 through May 10, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321028NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Mind Medical PLLC Psychiatry CurrentSince Jun 16, 2024 Accepting new patients

Locations

181 Main St
Ste 103
Huntington, NY 11743
Phone (631) 268-4321

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1114487295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MAIN ST STE 103",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436918",
            "telephone_number": "631-268-4321",
            "fax_number": "631-251-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MAIN ST STE 103",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436918",
            "telephone_number": "631-268-4321",
            "fax_number": "231-220-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "321028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.