Organization Active NPI

Anthony J Moschetto D.O., PC

  • Cardiovascular Disease Physician
  • Great Neck, NY
National Provider Identifier
1407286552
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ANTHONY J MOSCHETTO D.O., PC
Practice address
370 Northern Blvd
Great Neck, NY 11021-4813
Phone
(516) 874-0441
NPI assigned
Nov 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Michelle Clancy
Title
Executive Administrator
Phone
(516) 874-0441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

370 Northern Blvd
Great Neck, NY 11021-4813

Mailing address

370 Northern Blvd
Great Neck, NY 11021-4813
Phone (516) 874-0441

National Provider Directory

National Provider Directory

Locations

370 Northern Blvd
Great Neck, NY 11021
Phone (516) 874-0441

370 Northern Blvd
Ste 100
Great Neck, NY 11021
Phone (516) 874-0441

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1407286552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214813",
            "telephone_number": "516-874-0441",
            "fax_number": "516-874-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214813",
            "telephone_number": "516-874-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J MOSCHETTO D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "516-874-0441"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.