Organization Active NPI

George Moskowitz MD, PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1356506091
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
123348 Issued in NY
Legal business name
GEORGE MOSKOWITZ MD, PC
Practice address
1318 42ND St
Brooklyn, NY 11219-1405
Phone
(718) 436-2496
Fax
(718) 972-5404
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. George Moskowitz, M.D.NPI 1164417945
Title
Director of PC
Phone
(718) 436-2496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 123348 NY Primary

Addresses

Primary practice location

1318 42ND St
Brooklyn, NY 11219-1405

Mailing address

1318 42ND Street
Brooklyn, NY 11219-1405
Phone (718) 436-2496

Other identifiers 5

IdentifierTypeStateIssuer
12409POtherHIP PROVIDER NUMBER
03037125OtherNYMEDICAID GROUP PROVIDER NUMBER
D17490OtherNYMEDICAID UPIN NUMBER
123348OtherNYNEW YORK STATE LICENSE
100023441101OtherNYAMERICHOICE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080911000079 NY Part B Supplier - Clinic/Group Practice 0840366142 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Long Beach, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1356506091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 42ND STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191405",
            "telephone_number": "718-436-2496",
            "fax_number": "718-972-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 42ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191405",
            "telephone_number": "718-436-2496",
            "fax_number": "718-972-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE MOSKOWITZ MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR OF PC",
        "authorized_official_telephone_number": "718-436-2496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "123348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER NUMBER",
            "identifier": "12409P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP PROVIDER NUMBER",
            "identifier": "03037125",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID UPIN NUMBER",
            "identifier": "D17490",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "123348",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE PROVIDER NUMBER",
            "identifier": "100023441101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.