Manuel Orlando Mosquera, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

234367 Issued in NY

Practice address

3435 76TH St
Apt 3L
Jackson Heights, NY 11372-2222

Phone

(718) 808-5434

NPI assigned

Jul 16, 2006

Last updated

Oct 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Puerto Rican Organization to Motivate Enlighten and Serve Addicts, Inc

  dba Promesa Inc

  • Substance Abuse Rehabilitation Facility
  • Bronx, NY
  • NPI 1295911063
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1356368245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 76TH ST",
            "address_2": "APT 3L",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722222",
            "telephone_number": "718-808-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 76TH ST",
            "address_2": "APT 3L",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722222",
            "telephone_number": "718-808-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUERA",
        "first_name": "MANUEL",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "60 234367",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "234367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Henry Moreano, M.D.
• Rafael Segundo Moreira, LMHC
• Maria Victoria Moreno Cuttle, MD
• Katherine Moreno, LMHC
• Maria Moreno, OPTICIAN
• Tamara Moszczynska
• Sabah Mourad, MHC
• MSN RX Inc (Gemini Pharmacy)
• Wanjiru Nyina Muigai, M.D
• Selma Mulic

• Child & Adolescent Psychiatry Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.

Verify at the official NPI Registry.