Organization Active NPI

Maurice Mosseri MD PC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1366675894
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
189443 Issued in NY
Legal business name
MAURICE MOSSERI MD PC
Practice address
2118 Coney Island Ave Ste 2
Brooklyn, NY 11223-2347
Phone
(718) 339-5100
Fax
(718) 339-2648
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Julia Frid
Title
Billing Manager
Phone
(718) 339-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 189443 NY Primary

Addresses

Primary practice location

2118 Coney Island Ave Ste 2
Brooklyn, NY 11223-2347

Mailing address

2118 Coney Island Ave Ste 2
Brooklyn, NY 11223-2347
Phone (718) 339-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100105000240 NY Part B Supplier - Clinic/Group Practice 7719028323 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; New York, NY; Flushing, NY; Astoria, 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": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1366675894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 CONEY ISLAND AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232347",
            "telephone_number": "718-339-5100",
            "fax_number": "718-339-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 CONEY ISLAND AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232347",
            "telephone_number": "718-339-5100",
            "fax_number": "718-339-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE MOSSERI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "FRID",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-339-5100"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "189443",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 4, 2010; 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.