Individual provider Active NPI

Stephen Eric Moskowitz, MD

  • Psychiatry Physician
  • Coral Springs, FL
National Provider Identifier
1265478523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME21863 Issued in FL
Practice address
1881 University Drive
Suite 210
Coral Springs, FL 33071-6098
Phone
(954) 345-7474
Fax
(954) 345-4003
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME21863 FL Primary

Addresses

Primary practice location

1881 University Drive
Suite 210
Coral Springs, FL 33071-6098

Mailing address

1881 University Drive
Suite 210
Coral Springs, FL 33071-6098
Phone (954) 345-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000729 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 5496880213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME21863FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Psychiatry,Inc. Psychiatry PastSince Aug 18, 2018 Accepting new patients

Networks

  • HealthSun Health Plans Network

Organizations & group practices 1

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265478523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 UNIVERSITY DRIVE",
            "address_2": "SUITE 210",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716098",
            "telephone_number": "954-345-7474",
            "fax_number": "954-345-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 UNIVERSITY DRIVE",
            "address_2": "SUITE 210",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716098",
            "telephone_number": "954-345-7474",
            "fax_number": "954-345-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "STEPHEN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME21863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.