Individual provider Active NPI

Alexandra Moy, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1306445796
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346577 Issued in NY
Practice address
6740 4TH Ave
Brooklyn, NY 11220-5350
Phone
(929) 455-2700
NPI assigned
Oct 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 346577 NY Primary

Addresses

Primary practice location

6740 4TH Ave
Brooklyn, NY 11220-5350

Mailing address

6740 4TH Ave
Brooklyn, NY 11220-5350
Phone (929) 455-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amoy95835@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201212000142 NY Practitioner - Nurse Practitioner 0143632372 Reassigns benefits to 1 organization
I20230912001317 IL Practitioner - Nurse Practitioner 0143632372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Suite 207
Chicago, IL 60612-3988
Phone (312) 942-5861

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Dec 1, 2020 Accepting new patients
New York University CurrentSince Dec 1, 2020 Accepting new patients
Rush University Medical Group CurrentSince Sep 25, 2023 Accepting new patients
Rush University Medical Center CurrentSince Sep 25, 2023 Accepting new patients

Locations

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 207
Chicago, IL 60612

75 Remittance Dr
Dept 1611
Chicago, IL 60675

6740 4th Ave
Brooklyn, NY 11220
Phone (929) 455-2000

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1306445796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205350",
            "telephone_number": "929-455-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205350",
            "telephone_number": "929-455-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "ALEXANDRA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoy95835@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "6740 4th Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112205350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.