Individual provider Active NPI

Nicholas Moscatelli, NP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1285058552
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338474 Issued in NY
Practice address
4268 Richmond Ave
Staten Island, NY 10312-6239
Phone
(917) 971-7416
NPI assigned
Feb 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338474 NY Primary

Addresses

Primary practice location

4268 Richmond Ave
Staten Island, NY 10312-6239

Mailing address

4268 Richmond Ave
Staten Island, NY 10312-6239

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
I20181105002498 NY Practitioner - Nurse Practitioner 6204189442 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
338474NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Family Health Visits & NP Adult Health Visits, PLLC Family CurrentSince Apr 27, 2020 Accepting new patients
RJ Medical & Urgent Care, PLLC CurrentSince Dec 1, 2023 Accepting new patients
NP Visits of New Jersey, LLC PastSince Oct 1, 2021 Accepting new patients

Locations

108 Beverley Rd
#1
Brooklyn, NY 11218
Phone (347) 836-6923

464 Bay Ridge Ave
Ste A
Brooklyn, NY 11220
Phone (718) 680-6006

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1798/brand/1/csg/1/fhir/r4

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1285058552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4268 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4268 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126239",
            "telephone_number": "917-971-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCATELLI",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.