Active NPI
Carley Mae Moniz
- Physician Assistant
- Worcester, MA
National Provider Identifier
1326836966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 036694
- Practice address
- 19 Foster St
Worcester, MA 01608-1715 - Phone
- (413) 237-6001
- NPI assigned
- Apr 25, 2025
- Last updated
- Oct 15, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 036694 | NY | Primary |
Addresses
Primary practice location
19 Foster St
Worcester, MA 01608-1715
Mailing address
PO Box 14890
Albany, NY 12212-4890
Other practice location 1
326 S Pearl St
Albany, NY 12202-1914
Phone (518) 449-0100
Other practice location 2
400 Patroon Creek Blvd Ste 102
Albany, NY 12206-5015
Phone (518) 445-4320
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792022400000",
"number": "1326836966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 FOSTER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081715",
"telephone_number": "413-237-6001"
}
],
"practiceLocations": [
{
"address_1": "326 S Pearl St",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122021914",
"country_code": "US",
"telephone_number": "518-449-0100",
"fax_number": "518-463-8580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Patroon Creek Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122065015",
"country_code": "US",
"telephone_number": "518-445-4320",
"fax_number": "518-475-7050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONIZ",
"first_name": "CARLEY",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-25",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "036694",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "400 Patroon Creek Blvd Ste 102",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122065015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.