Moshe Yadoo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

159912 Issued in NY

Practice address

2901 216TH St
Bayside, NY 11360-2810

Phone

(718) 281-8525

Fax

(718) 281-8590

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Saint Marys Hospital for Children Inc.

  • Pediatric Skilled Nursing Facility
  • Bayside, NY
  • NPI 1083837157
  Medicare reassignment NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447329008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 216TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602810",
            "telephone_number": "718-281-8525",
            "fax_number": "718-281-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 216TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602810",
            "telephone_number": "718-281-8525",
            "fax_number": "718-281-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADOO",
        "first_name": "MOSHE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "159912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01449430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Xu, L.AC
• Ting Xu
• Ying Xu, FNP-BC
• Savannah Rose Yablonski, DPT
• John Meena Yacoub, DDS
• Sandra Elizabeth Yanez Turck, M.S.W.
• Li-Min Yang, M.D.
• Myongwoon Marilyn Yang, O.D.
• Lauren Yannucci, M.A., CCC-SLP
• Katiusca Yanza

• Pediatrics Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.