Individual provider Active NPI

Neil L Moscow, DDS

  • Pediatric Dentistry
  • Havertown, PA
National Provider Identifier
1467434480
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS018576L Issued in PA
Practice address
510 Darby Rd
Ste 201
Havertown, PA 19083-4630
Phone
(610) 449-5010
Fax
(610) 853-4691
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS018576L PA Primary

Addresses

Primary practice location

510 Darby Rd
Ste 201
Havertown, PA 19083-4630

Mailing address

510 Darby Rd
Ste 201
Havertown, PA 19083-4630
Phone (610) 449-5010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160331000259 PA Order and Referring Only - DentistPractitioner - Dentist 9931406261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS018576LPAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Neil L Moscow DDS PC Pediatric Dentistry Past Accepting new patients

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467434480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DARBY RD",
            "address_2": "STE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834630",
            "telephone_number": "610-449-5010",
            "fax_number": "610-853-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DARBY RD",
            "address_2": "STE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834630",
            "telephone_number": "610-449-5010",
            "fax_number": "610-853-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCOW",
        "first_name": "NEIL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS018576L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.