Active NPI
Jeffrey Paul Moskowitz, M.D.
- Family Medicine Physician
- New York, NY
National Provider Identifier
1306028626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 164627
- Practice address
- 207 E 74TH St
Apt 4E
New York, NY 10021-3342 - Phone
- (908) 265-2077
- Fax
- (347) 486-6127
- NPI assigned
- Nov 28, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 164627 | NY | |
| Family Medicine Physician | 207Q00000X | 164627 | NY | Primary |
Addresses
Primary practice location
207 E 74TH St
Apt 4E
New York, NY 10021-3342
Mailing address
207 E 74TH St
Apt 4E
New York, NY 10021-3342
Phone (212) 472-6525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00956363 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 23, 2016 through Feb 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhapsody Physician, PC | Family Medicine | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- New York, NY
- NPI 1750797502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1306028626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E 74TH ST",
"address_2": "APT 4E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213342",
"telephone_number": "212-472-6525",
"fax_number": "212-472-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E 74TH ST",
"address_2": "APT 4E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213342",
"telephone_number": "908-265-2077",
"fax_number": "347-486-6127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKOWITZ",
"first_name": "JEFFREY",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-28",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "164627",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "164627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00956363",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.