Individual provider Active NPI

Rebecca Moers, PA

  • Physician Assistant
  • Massapequa, NY
National Provider Identifier
1174088603
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
023319 Issued in NY
Practice address
4410 Sunrise Hwy
Massapequa, NY 11758-5346
Phone
(516) 998-1024
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 023319 NY Primary

Addresses

Primary practice location

4410 Sunrise Hwy
Massapequa, NY 11758-5346

Mailing address

348 Beach 149TH St
Rockaway Park, NY 11694-1027
Phone (917) 704-0978

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
I20190510001521 NY Practitioner - Physician Assistant 9335482504 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1919 Hempstead Tpke
East Meadow, NY 11554-1710
Phone (516) 227-2273

1930 Deer Park Ave
Deer Park, NY 11729-3328
Phone (631) 254-5900

1989 Merrick Rd
Merrick, NY 11566-4643
Phone (516) 584-4448

235 Glen Cove Rd
Carle Place, NY 11514-1221
Phone (516) 877-2273

2459 Merrick Rd
Bellmore, NY 11710-5703
Phone (516) 826-2273

30 Franklin Ave
Franklin Square, NY 11010-2527
Phone (516) 352-0253

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

4410 Sunrise Hwy
Massapequa, NY 11758-5346
Phone (516) 998-1024

560 Merrick Rd
Rockville Centre, NY 11570-5445
Phone (516) 858-2373

585 Merrick Rd
Lynbrook, NY 11563-2311
Phone (516) 764-2273

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023319NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Medical CurrentSince May 1, 2019 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 8, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 8, 2020 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

4410 Sunrise Hwy
Massapequa, NY 11758
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Interoperability endpoints

  • Direct secure messaging: rebecca.moers.1@2983.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1174088603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 BEACH 149TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941027",
            "telephone_number": "917-704-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585346",
            "telephone_number": "516-998-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERS",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.