Individual provider Active NPI

Terence Stephan Moy, MS, CCC-SLP

  • Speech-Language Pathologist
  • Forest Hills, NY
National Provider Identifier
1316480775
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021882 Issued in NY
Practice address
9130 Metropolitan Ave
P233Q
Forest Hills, NY 11375-6671
Phone
(718) 286-4718
NPI assigned
Dec 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 021882 NY Primary

Addresses

Primary practice location

9130 Metropolitan Ave
P233Q
Forest Hills, NY 11375-6671

Mailing address

9130 Metropolitan Ave
P233Q
Forest Hills, NY 11375-6671
Phone (718) 286-4718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1316480775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 METROPOLITAN AVE",
            "address_2": "P233Q",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756671",
            "telephone_number": "718-286-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 METROPOLITAN AVE",
            "address_2": "P233Q",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756671",
            "telephone_number": "718-286-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "TERENCE",
        "middle_name": "STEPHAN",
        "name_prefix": "Mr.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.