Bonnie C Moskowitz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036111638 Issued in IL

Practice address

246 Oakhurst Cir
Kissimmee, FL 34744-4752

Phone

(754) 702-7256

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Blueberry Medical PA

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1396201752
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1215980628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 OAKHURST CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444752",
            "telephone_number": "754-702-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 OAKHURST CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444752",
            "telephone_number": "754-702-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "BONNIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036111638",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036111638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111638",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga Lucia Morrone, ARNP
• Dante Morveli, MD
• Isaiah Moser, DNP
• Linda Cuz Moser, M.S.
• Richard W Mosier
• Ashley Mosley
• Jayde Mosley, OTD
• Yvette Michelle Mosley, LICSW
• Carlos Mota Annexy, DC
• Gabriela Mota, LDO

• Pediatrics Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.