Individual provider Active NPI

Alison K Moy, NP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1467024687
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348881 Issued in NY
Practice address
40 Celebration Dr
Rochester, NY 14620-2664
Phone
(585) 275-7546
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 348881 NY
Family Nurse Practitioner 363LF0000X 209023591 IL
Family Nurse Practitioner 363LF0000X 348881 NY Primary

Addresses

Primary practice location

40 Celebration Dr
Rochester, NY 14620-2664

Mailing address

601 Elmwood Ave Box 278797
Rochester, NY 14642-0001
Phone (585) 275-7546

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amoy243184@direct.urmc.rochester.edu Direct
Direct Messaging Address amoy243184@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IN, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211203000198 NY Practitioner - Nurse Practitioner 0042600108 Reassigns benefits to 2 organizations
I20240227002355 IN Practitioner - Nurse Practitioner 0042600108 Reassigns benefits to 1 organization
I20240301000049 IL Practitioner - Nurse Practitioner 0042600108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Dermatology Institute, LLCGroup PAC ID 7911043054, 51 clinicians

Practice addresses (Care Compare)

1550 N Northwest Hwy
Suite 300
Park Ridge, IL 60068-1475
Phone (847) 298-1831

3000 N Halsted St
Suite 409
Chicago, IL 60657-9268
Phone (773) 281-9200

9601 Calumet Ave
Suite E
Munster, IN 46321-2911
Phone (219) 491-3376

9711 Skokie Blvd
Suite J
Skokie, IL 60077-1384
Phone (847) 675-9711

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
348881NYMDMedical Physician Assistant
209023591ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Nov 23, 2021 Accepting new patients
University of Rochester CurrentSince Nov 23, 2021 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University Dermatology Associates CurrentSince Nov 23, 2021 Accepting new patients
University Dermatology Associates CurrentSince Nov 23, 2021 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Physicians Dermpath Laboratory Past Accepting new patients
Decatur Memorial Hospital PastSince Apr 1, 2024 Accepting new patients
Northern Indiana Dermatology and Skin Surgery Center Past Accepting new patients

Locations

40 Celebration Dr
Rochester, NY 14620
Phone (585) 275-0193

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#278797
Rochester, NY 14642

Interoperability endpoints

  • Direct secure messaging: amoy243184@direct.urmc.rochester.edu
  • Direct secure messaging: amoy@illinois.emadirect.md

Organizations & group practices 11

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1467024687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 278797",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CELEBRATION DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202664",
            "telephone_number": "585-275-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "ALISON",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-07-17",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "348881",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023591",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoy243184@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoy243184@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.