Active NPI
Michael G Moskovitz, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 291377
- Practice address
- 100 Nicolls Road
HSC T16-020
Stony Brook, NY 11794 - Phone
- (631) 444-2292
- NPI assigned
- Jun 26, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 291377 | NY | |
| Internal Medicine Physician | 207R00000X | C1-0012476 | DE | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 291377 | NY | Primary |
Addresses
Primary practice location
100 Nicolls Road
HSC T16-020
Stony Brook, NY 11794
Mailing address
100 Nicolls Road
HSC T-16 020
Stony Brook, NY 11794
Phone (631) 444-2292
Other practice location 1
4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200
Phone (302) 623-0188
Other practice location 2
1275 York Ave
New York, NY 10065-6007
Phone (310) 753-5612
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stony Brook Internists University Faculty Practice Corporation
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
101 Nicolls Rd
Stony Brook, NY 11794-0001
26 Research Way
East Setauket, NY 11733-3526
Phone (631) 444-0580
Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (632) 638-1000
PO Box
Suite 1554
Stony Brook, NY 11790-0989
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0012476 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Current | Accepting new patients |
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients | |
| Memorial Medical Consultation Group | Internal Medicine | Current | Accepting new patients |
Locations
26 Research Way
East Setauket, NY 11733
Phone (631) 444-0502
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
3 Edmund D Pellegrino Rd
Stony Brook, NY 11794
Phone (631) 638-0800
100 Nicolls Rd
#T16202
Stony Brook, NY 11794
100 Nicolls Rd
#T16020
Stony Brook, NY 11794
Phone (631) 444-2292
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
100 Nicolls Rd
#T16
Stony Brook, NY 11794
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- michael.moskovitz@direct.stonybrookmedicine.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1053382523
-
- Cardiac Rehabilitation Registered Nurse
- Stony Brook, NY
- NPI 1295778371
-
- Internal Medicine Physician
- Stony Brook, NY
- NPI 1821035601
-
- Medical Oncology Physician
- Stony Brook, NY
- NPI 1184679342
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1366857468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NICOLLS ROAD",
"address_2": "HSC T-16 020",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11794",
"telephone_number": "631-444-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NICOLLS ROAD",
"address_2": "HSC T16-020",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11794",
"telephone_number": "631-444-2292"
}
],
"practiceLocations": [
{
"address_1": "4755 Ogletown Stanton Road",
"address_2": "Suite 5A43",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197182200",
"country_code": "US",
"telephone_number": "302-623-0188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1275 York Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100656007",
"country_code": "US",
"telephone_number": "310-753-5612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSKOVITZ",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-26",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "291377",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0012476",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "NY",
"license": "291377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.