Individual provider Active NPI

Golnaz Moazami, M.D.

  • Neuro-ophthalmology Physician
  • New York, NY
National Provider Identifier
1427075407
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
203828 Issued in NY
Practice address
210 E 64TH St FL 6
New York, NY 10065-7471
Phone
(917) 200-8900
Fax
(917) 338-5088
NPI assigned
Jul 16, 2006
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 203828-1 NY
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 203828 NY
Neuro-ophthalmology Physician 207WX0109X 203828 NY Primary

Addresses

Primary practice location

210 E 64TH St FL 6
New York, NY 10065-7471

Mailing address

700 Columbus Ave FRNT 4
PWFS Box 20964
New York, NY 10025-6662
Phone (917) 200-8900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031104000328 NY Practitioner - Ophthalmology 4385556778 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

210 E 64TH St
New York, NY 10065-7471
Phone (212) 702-7674

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203828-1NYMDOphthalmology Physician
203828NYMDNeuro-ophthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Ophthalmology CurrentSince Feb 23, 2024 Accepting new patients
Golnaz Moazami MD Neuro-Ophthalmology CurrentSince Nov 13, 2012 Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology Past Accepting new patients
Trustees of Columbia University in the City of New York Ophthalmology Past Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

210 E 64th St
New York, NY 10065
Phone (212) 434-4312

210 E 64th St
Fl 6
New York, NY 10065
Phone (212) 702-7670

700 Columbus Ave
Unit 20964
New York, NY 10025

880 3rd Ave
Fl 2
New York, NY 10022
Phone (212) 305-3277

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gmoazami@northwellhealth.intellechartdirect.net
  • Direct secure messaging: gmoazami69026@northwell.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1427075407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COLUMBUS AVE FRNT 4",
            "address_2": "PWFS BOX 20964",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256662",
            "telephone_number": "917-200-8900",
            "fax_number": "917-338-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 64TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657471",
            "telephone_number": "917-200-8900",
            "fax_number": "917-338-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAZAMI",
        "first_name": "GOLNAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "203828-1",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "203828",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "NY",
            "license": "203828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.