Individual provider Active NPI

Annie Renee Layno-Moses

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1255776449
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A149708 Issued in CA
Practice address
588 Broadway RM 710
New York, NY 10012-5242
Phone
(212) 804-9060
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A149708 CA Primary

Addresses

Primary practice location

588 Broadway RM 710
New York, NY 10012-5242

Mailing address

2801 Wilshire Blvd Ste a
Santa Monica, CA 90403-4801
Phone (310) 574-2777

Other practice location 1

2801 Wilshire Blvd Ste A
Santa Monica, CA 90403-4801
Phone (310) 574-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180124002493 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4284938309 Reassigns benefits to 1 organization
I20220825003320 NY Practitioner - Physical Medicine and Rehabilitation 4284938309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149708CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phyzmed Associates Inc CurrentSince Jan 1, 2018 Accepting new patients
Phyzmed Associates Inc Pain Medicine CurrentSince Jan 1, 2018 Accepting new patients
Downtown Physicians P.C. Pain Medicine CurrentSince May 3, 2022 Accepting new patients

Locations

2801 Wilshire Blvd
Ste A
Santa Monica, CA 90403
Phone (310) 547-2777

1112 Montana Ave
#900
Santa Monica, CA 90403
Phone (855) 257-4239

2428 Santa Monica Blvd
Ste 208
Santa Monica, CA 90404
Phone (310) 574-2777

16110 Jamaica Ave
Ste 301
Jamaica, NY 11432
Phone (212) 404-8080

80 Maiden Ln
Rm 905
New York, NY 10038
Phone (212) 404-8070

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1255776449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WILSHIRE BLVD STE A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034801",
            "telephone_number": "310-574-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 BROADWAY RM 710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100125242",
            "telephone_number": "212-804-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Wilshire Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904034801",
            "country_code": "US",
            "telephone_number": "310-574-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYNO-MOSES",
        "first_name": "ANNIE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A149708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.