Individual provider Active NPI

Moeen Hasan Sheikh

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1144313545
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
035679 Issued in NY
Practice address
5702 6TH Ave
Brooklyn, NY 11220-3805
Phone
(718) 745-8295
Fax
(718) 745-9899
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 035679 NY Primary

Addresses

Primary practice location

5702 6TH Ave
Brooklyn, NY 11220-3805

Mailing address

352 Saint Pauls Ave
Staten Island, NY 10304-2126
Phone (718) 745-8295

Other identifiers 1

IdentifierTypeStateIssuer
00578592MedicaidNY

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
I20160616000745 NY Order and Referring Only - DentistPractitioner - Dentist 3072804368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035679NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Moeen Sheikh Dental PC Past Accepting new patients

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1144313545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 SAINT PAULS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042126",
            "telephone_number": "718-745-8295",
            "fax_number": "718-745-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203805",
            "telephone_number": "718-745-8295",
            "fax_number": "718-745-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "MOEEN",
        "middle_name": "HASAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00578592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.