Individual provider Active NPI

Ruth Moze, DNP FNP-BC PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baldwin, NY
National Provider Identifier
1205206893
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
407618 Issued in NY
Practice address
3488 Daniel Cres
Baldwin, NY 11510-5152
Phone
(917) 742-7408
NPI assigned
Sep 25, 2015
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344400 NY
Family Nurse Practitioner 363LF0000X RN307928 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407618 NY Primary

Addresses

Primary practice location

3488 Daniel Cres
Baldwin, NY 11510-5152

Mailing address

3488 Daniel Cres
Baldwin, NY 11510-5152
Phone (917) 742-7408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210130000188 NY Practitioner - Nurse Practitioner 9830503069 Reassigns benefits to 8 organizations
I20220307000104 GA Practitioner - Nurse Practitioner 9830503069 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians

Practice addresses (Care Compare)

1169 Liberty Ave
Brooklyn, NY 11208-3308
Phone (646) 604-8180

3733 82ND St
Jackson Heights, NY 11372-7031
Phone (646) 604-8190

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone (929) 468-9920

68 Graham Ave
Brooklyn, NY 11206-4017
Phone (646) 604-8130

916 Flatbush Ave
Brooklyn, NY 11226-4018
Phone (646) 604-8140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
407618NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Feb 2, 2022 Accepting new patients
Utm of Georgia Physicians LLC CurrentSince Jan 6, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Dec 1, 2020 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Sep 1, 2022 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Mar 5, 2021 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Essen Medical Associates,PC CurrentSince Dec 1, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 1, 2020 Accepting new patients
Midtown East Medical Services, PC CurrentSince Sep 19, 2025 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Dec 1, 2020 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

3551 Satellite Blvd
Duluth, GA 30096
Phone (770) 476-3000

590 Lanier Ave W
Fayetteville, GA 30214

400 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 944-9018

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

5710 Sugarloaf Pkwy
Lawrenceville, GA 30043
Phone (770) 237-2222

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

15 Fishers Rd
Ste 114
Pittsford, NY 14534
Phone (585) 376-7738

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205206893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3488 DANIEL CRES",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105152",
            "telephone_number": "917-742-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 DANIEL CRES",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105152",
            "telephone_number": "917-742-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZE",
        "first_name": "RUTH",
        "credential": "DNP FNP-BC PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN307928",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.