Individual provider Active NPI

Deborah L Moody, M.D.

  • Anesthesiology Physician
  • Scarsdale, NY
National Provider Identifier
1417960964
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1700011 Issued in NY
Practice address
4 Richbell Close
Scarsdale, NY 10583-4424
Phone
(914) 472-9853
Fax
(914) 472-9819
NPI assigned
Aug 15, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 1700011 NY Primary

Addresses

Primary practice location

4 Richbell Close
Scarsdale, NY 10583-4424

Mailing address

4 Richbell Close
Scarsdale, NY 10583-4424
Phone (914) 472-9853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1700011NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesiologists of Greater New York PC Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1417960964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHBELL CLOSE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834424",
            "telephone_number": "914-472-9853",
            "fax_number": "914-472-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RICHBELL CLOSE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834424",
            "telephone_number": "914-472-9853",
            "fax_number": "914-472-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "1700011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.