Active NPI
Benjamin Moscovitz, DPM
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
National Provider Identifier
1447379896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N003958-1
- Practice address
- 572 Louisiana Ave # 1
Brooklyn, NY 11239-1524 - Phone
- (718) 253-3554
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N003958-1 | NY | Primary |
Addresses
Primary practice location
572 Louisiana Ave # 1
Brooklyn, NY 11239-1524
Mailing address
1094 E 31St St
Brooklyn, NY 11210-4129
Phone (718) 253-3554
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00902112 | Medicaid | NY | |
| 0021599 | Other | GHI | |
| P40941 | Other | BLUE SHIELD | |
| P40943 | Other | BLUE SHIELD |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110720000357 | NY | Practitioner - Podiatry | 1951579846 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3013 Ave K
Brooklyn, NY 11210-4132
Phone (718) 253-3554
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 239 |
| Removal or shaving of skin growth | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003958 | NY | MD | Mental Health Counselor |
| N003958-1 | NY | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1447379896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1094 E 31ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104129",
"telephone_number": "718-253-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 LOUISIANA AVE # 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112391524",
"telephone_number": "718-253-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSCOVITZ",
"first_name": "BENJAMIN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N003958-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00902112",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0021599",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "P40941",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "P40943",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.