Individual provider Active NPI

Moeez Qureshi, PA-C

  • Medical Physician Assistant
  • East Meadow, NY
National Provider Identifier
1235844606
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone
(516) 346-5090
NPI assigned
Jan 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NY Primary

Addresses

Primary practice location

2310 Hempstead Tpke
East Meadow, NY 11554-2035

Mailing address

30 E Carmans Rd
Farmingdale, NY 11735-3833
Phone (347) 440-3288

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
I20230419002605 NY Practitioner - Physician Assistant 2567827850 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hart Orthopedic Surgery PCGroup PAC ID 3375019185, 3 clinicians
Jeffrey D. Hart, D.O., P.C.Group PAC ID 9638522428, 3 clinicians

Practice addresses (Care Compare)

2500 Nesconset Hwy
Stony Brook, NY 11790-2555
Phone (833) 374-2787

4200 Sunrise Hwy
Massapequa, NY 11758-5311
Phone (833) 374-2787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hart Orthopedic Surgery, P.C. CurrentSince Jun 5, 2026 Accepting new patients
A.P. New York Comprehensive Medical Care PC PastSince Jan 22, 2023 Accepting new patients

Locations

4200 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 541-1064

2500 Nesconset Hwy
Bldg 11
Stony Brook, NY 11790
Phone (833) 374-2787

2500 Nesconset Hwy
Bldg 11C
Stony Brook, NY 11790
Phone (631) 751-8004

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1235844606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E CARMANS RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353833",
            "telephone_number": "347-440-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542035",
            "telephone_number": "516-346-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MOEEZ",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.