Individual provider Active NPI

Andrew Marc Moskowitz, DDS

  • Dentist
  • Purdys, NY
National Provider Identifier
1124125844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047681 Issued in NY
Practice address
509 B Route 22
Purdys, NY 10578
Phone
(914) 277-4990
Fax
(914) 277-5884
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047681 NY Primary

Addresses

Primary practice location

509 B Route 22
Purdys, NY 10578

Mailing address

PO Box 8
Purdys, NY 10578
Phone (914) 277-4440

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628000438 NY Practitioner - Dentist 9638537376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047681NYMDPharmacist

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Hudson Valley Regional Community Health Centers Inc CurrentSince May 19, 2023 Accepting new patients
Hudson Valley Regional Community Health Centers Inc CurrentSince May 19, 2023 Accepting new patients
Healthy Smiles Dentistry of Northern Westchester PLLC Dentist Past Accepting new patients

Locations

15 Mount Ebo Rd S
Ste 1
Brewster, NY 10509
Phone (845) 278-6930

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124125844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "PURDYS",
            "state": "NY",
            "postal_code": "10578",
            "telephone_number": "914-277-4440",
            "fax_number": "914-277-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 B ROUTE 22",
            "city": "PURDYS",
            "state": "NY",
            "postal_code": "10578",
            "telephone_number": "914-277-4990",
            "fax_number": "914-277-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "ANDREW",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purdys, NY

Sources for this page

Verify at the official NPI Registry.