Active NPI
Stacy Lynn Moskowitz, MSPT
- Physical Therapist
- Glendale, NY
National Provider Identifier
1245523950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010932-1
- Practice address
- 90-50 Union Turnpike
Suite 5G
Glendale, NY 11385-8064 - Phone
- (845) 893-9879
- Fax
- (845) 634-6435
- NPI assigned
- May 27, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010932-1 | NY | Primary |
| Physical Therapist | 225100000X | 40QA00613300 | NJ |
Addresses
Primary practice location
90-50 Union Turnpike
Suite 5G
Glendale, NY 11385-8064
Mailing address
90-50 Union Turnpike
Suite 5G
Glendale, NY 11385-8064
Phone (845) 893-9879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00613300 | NJ | MD | Physical Therapist |
| 010932-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1245523950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90-50 UNION TURNPIKE",
"address_2": "SUITE 5G",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113858064",
"telephone_number": "845-893-9879",
"fax_number": "845-634-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90-50 UNION TURNPIKE",
"address_2": "SUITE 5G",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113858064",
"telephone_number": "845-893-9879",
"fax_number": "845-634-6435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKOWITZ",
"first_name": "STACY",
"middle_name": "LYNN",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010932-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00613300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.