Individual provider Active NPI

Mark L Moster, MD

  • Neuro-ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1376511980
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
MD024148E Issued in PA
Practice address
840 Walnut St Ste 930
Philadelphia, PA 19107-5109
Phone
(215) 928-3130
Fax
(215) 592-1923
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD024148E PA
Neuro-ophthalmology Physician 207WX0109X MD024148E PA Primary

Addresses

Primary practice location

840 Walnut St Ste 930
Philadelphia, PA 19107-5109

Mailing address

840 Walnut St Ste 930
Philadelphia, PA 19107-5109
Phone (215) 928-3130

Other identifiers 1

IdentifierTypeStateIssuer
0009685800003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050425000645 NJ Practitioner - NeurologyPractitioner - Ophthalmology 1850339326 Reassigns benefits to 1 organization
I20100729000451 PA Practitioner - NeurologyPractitioner - Ophthalmology 1850339326 Reassigns benefits to 1 organization
I20231229002982 FL Practitioner - Neurology 1850339326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew D Kay, M.D., P.a.Group PAC ID 8325228653, 2 clinicians

Practice addresses (Care Compare)

6333N Federal Hwy 401
Fort Lauderdale, FL 33308-1909
Phone (954) 463-4761

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD024148EPAMDNeuro-ophthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wills Eye Ophthalmology Clinic, Inc Neuro-Ophthalmology CurrentSince Apr 12, 2010 Accepting new patients
Matthew D Kay, M.D., P.a. CurrentSince Oct 1, 2023 Accepting new patients

Locations

6333 N Federal Hwy
Ste 401
Ft Lauderdale, FL 33308
Phone (954) 463-4761

2801 NE 213th St
Ste 1006
Miami, FL 33180
Phone (305) 945-7433

2000 Palm Beach Lakes Blvd
Ste 400
West Palm Beach, FL 33409
Phone (561) 478-2015

1401 Route 70 E
Ste 18
Cherry Hill, NJ 08034
Phone (856) 428-5797

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Ste 930
Philadelphia, PA 19107

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1376511980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 930",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3130",
            "fax_number": "215-592-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 930",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3130",
            "fax_number": "215-592-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTER",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD024148E",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "PA",
            "license": "MD024148E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009685800003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.