Individual provider Active NPI

Syed Moin, M.D.

  • Internal Medicine Physician
  • Newburgh, NY
National Provider Identifier
1447335351
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
167508 Issued in NY
Practice address
312 N Plank Rd
Newburgh, NY 12550-8858
Phone
(845) 728-2655
Fax
(845) 496-1396
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 167508 NY
Internal Medicine Physician 207R00000X 167508 NY Primary

Addresses

Primary practice location

312 N Plank Rd
Newburgh, NY 12550-8858

Mailing address

312 N Plank Rd
Newburgh, NY 12550-8858
Phone (845) 728-2655

Other identifiers 1

IdentifierTypeStateIssuer
01152469MedicaidNY

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
I20100823000723 NY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 4284768557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

312 N Plank Rd
Newburgh, NY 12550-8858
Phone 8885924037101

70 Dubois St
Newburgh, NY 12550-4851
Phone (845) 561-4400

Hospital & facility affiliations

  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
167508NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Internal Medicine, P.C. Internal Medicine CurrentSince May 1, 2010 Accepting new patients

Locations

312 N Plank Rd
Newburgh, NY 12550
Phone (845) 566-1656

67 E Main St
Washingtonvle, NY 10992
Phone (845) 496-8466

Networks

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

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1447335351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508858",
            "telephone_number": "845-728-2655",
            "fax_number": "845-496-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N PLANK RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508858",
            "telephone_number": "845-728-2655",
            "fax_number": "845-496-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIN",
        "first_name": "SYED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "167508",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "167508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01152469",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.