Individual provider Active NPI

Henry E Moscicki, FNP

  • Family Nurse Practitioner
  • Batavia, NY
National Provider Identifier
1194766709
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331106 Issued in NY
Practice address
35 Batavia City Ctr
Batavia, NY 14020-2107
Phone
(585) 344-4444
Fax
(585) 219-6114
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F331106 NY Primary

Addresses

Primary practice location

35 Batavia City Ctr
Batavia, NY 14020-2107

Mailing address

35 City Center
Batavia, NY 14020
Phone (585) 344-4444

Other identifiers 1

IdentifierTypeStateIssuer
01973239MedicaidNY

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
I20101109001233 NY Practitioner - Nurse Practitioner 3971609686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8678 Lake St Rd
Le Roy, NY 14482-9357
Phone (585) 344-4444

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F331106NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry E Moscicki NP Family Health PLLC CurrentSince Apr 29, 2020 Accepting new patients
Genesee Health Care PastSince Sep 25, 2000 Accepting new patients

Locations

8678 Lake Street Rd
Le Roy, NY 14482
Phone (585) 344-4444

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1194766709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CITY CENTER",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "14020",
            "telephone_number": "585-344-4444",
            "fax_number": "585-219-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BATAVIA CITY CTR",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202107",
            "telephone_number": "585-344-4444",
            "fax_number": "585-219-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCICKI",
        "first_name": "HENRY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01973239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.