Active NPI
Leo Moskowitz, DDS
- Dentist
- Queens Village, NY
National Provider Identifier
1326029224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 026775
- Practice address
- 21518 Hillside Ave
Queens Village, NY 11427-1810 - Phone
- (718) 464-2891
- Fax
- (718) 264-3289
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 026775 | NY | Primary |
Addresses
Primary practice location
21518 Hillside Ave
Queens Village, NY 11427-1810
Mailing address
14 Ursula Dr
Roslyn, NY 11576-3019
Phone (516) 484-2384
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150701001862 | NY | Order and Referring Only - Dentist | 1850603911 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026775 | NY | MD | Dental Hygienist |
Interoperability endpoints
- lmoskowitz3659@direct.medisys.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1326029224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 URSULA DR",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115763019",
"telephone_number": "516-484-2384",
"fax_number": "516-484-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21518 HILLSIDE AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271810",
"telephone_number": "718-464-2891",
"fax_number": "718-264-3289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKOWITZ",
"first_name": "LEO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "026775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.