Individual provider Active NPI

Emrey Moskowitz-Porath, D.D.S.

  • General Practice Dentistry
  • Wellesley, MA
National Provider Identifier
1265866032
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN19097 Issued in MA
Practice address
310 Washington St Ste 208
Wellesley, MA 02481-4949
Phone
(617) 308-8323
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19097 MA Primary

Addresses

Primary practice location

310 Washington St Ste 208
Wellesley, MA 02481-4949

Mailing address

20 Cotton St
Newton, MA 02458-2620
Phone (617) 527-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107002455 MA Order and Referring Only - DentistPractitioner - Dentist 2961704952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellesley Family Dental Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1265866032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COTTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582620",
            "telephone_number": "617-527-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WASHINGTON ST STE 208",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814949",
            "telephone_number": "617-308-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ-PORATH",
        "first_name": "EMREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN19097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.