Active NPI
Mojdeh Momeni, M.D.
- Gastroenterology Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 230985
- Practice address
- 159 Barnegat Rd FL 2
Poughkeepsie, NY 12601-5401 - Phone
- (845) 452-9800
- Fax
- (845) 452-7691
- NPI assigned
- May 21, 2008
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 230985 | NY | Primary |
Addresses
Primary practice location
159 Barnegat Rd FL 2
Poughkeepsie, NY 12601-5401
Mailing address
111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 592-4915
Other practice location 1
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-6945
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
222 Westchester Ave
Suite 101
White Plains, NY 10604-2923
Phone (914) 946-1010
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 124 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230985 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Plains Physician Services PC | Current | Accepting new patients | |
| Poughkeepsie Medical Group LLP | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Past | Accepting new patients | |
| NYU Lutheran Medical Center | Past | Accepting new patients |
Locations
185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020
375 Hooker Ave
Poughkeepsie, NY 12603
Phone (845) 454-5000
222 Westchester Ave
Ste 101
White Plains, NY 10604
Phone 9149461010324
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mmomeni@direct.health-quest.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1124502687
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1700979507
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1538111653
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba White Plains Hospital Center
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235396714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLOCK TOWER CMNS",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094055",
"telephone_number": "845-592-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 BARNEGAT RD FL 2",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126015401",
"telephone_number": "845-452-9800",
"fax_number": "845-452-7691"
}
],
"practiceLocations": [
{
"address_1": "121 Dekalb Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112015425",
"country_code": "US",
"telephone_number": "718-250-6945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOMENI",
"first_name": "MOJDEH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "230985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.