Individual provider Active NPI

Tamara Francoise Moise, D.O.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1184884330
Registry record updated Jul 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB08550400 Issued in NJ
Practice address
3805 Church Ave
Brooklyn, NY 11203
Phone
(718) 287-0616
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB08550400 NJ Primary

Addresses

Primary practice location

3805 Church Ave
Brooklyn, NY 11203

Mailing address

167 Wayne St Apt 408
Jersey City, NJ 07302-3490
Phone (516) 603-5745

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000005 NY Practitioner - Emergency Medicine 1355491754 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rowan University School of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

2146 Bartow Ave
Bronx, NY 10475-4629
Phone (646) 346-7927

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08550400NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Medical Services of New York PC Emergency Medicine CurrentSince Jul 4, 2010 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jul 14, 2016 Accepting new patients
Nes Medical Services of New York PC Emergency Medicine Current Accepting new patients
Hicksville Family Medical Care, PLLC CurrentSince Jun 10, 2021 Accepting new patients
New York University Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Nes Medical Services of New York PC Emergency Medicine CurrentSince Jul 4, 2010 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jun 2, 2025 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jul 14, 2016 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jun 2, 2025 Accepting new patients
New York University CurrentSince Aug 1, 2016 Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

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

2146 Bartow Ave
Bronx, NY 10475
Phone (646) 346-7927

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

3805 Church Ave
Brooklyn, NY 11203
Phone (718) 278-0616

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

455 E Bay Dr
Long Beach, NY 11561
Phone (516) 432-8000

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

Interoperability endpoints

  • Direct secure messaging: tamara.moise.1@2983.direct.athenahealth.com

Organizations & group practices 12

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1184884330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 WAYNE ST APT 408",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023490",
            "telephone_number": "516-603-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-287-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISE",
        "first_name": "TAMARA",
        "middle_name": "FRANCOISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08550400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.