Individual provider Active NPI

Chris Moros, D.O.

  • Orthopaedic Surgery Physician
  • Commack, NY
National Provider Identifier
1457525255
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
261474 Issued in NY
Practice address
1092 Jericho Tpke
Commack, NY 11725-3016
Phone
(631) 360-6370
Fax
(631) 360-6373
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 261474 NY Primary

Addresses

Primary practice location

1092 Jericho Tpke
Commack, NY 11725-3016

Mailing address

1092 Jericho Tpke
Commack, NY 11725-3016
Phone (631) 360-6370

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
I20130911000561 NY Practitioner - Orthopedic Surgery 9931343068 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Village Medical, P.C. Orthopaedic Surgery CurrentSince Oct 3, 2016 Accepting new patients

Locations

1092 Jericho Tpke
Commack, NY 11725
Phone (631) 360-6370

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1457525255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253016",
            "telephone_number": "631-360-6370",
            "fax_number": "631-360-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253016",
            "telephone_number": "631-360-6370",
            "fax_number": "631-360-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROS",
        "first_name": "CHRIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "261474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.