Active NPI
Elise Moinzadeh, PA
- Surgical Physician Assistant
- Saratoga Springs, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 022253
- Practice address
- 5 Care LN
Saratoga Springs, NY 12866-8623 - Phone
- (518) 489-2663
- Fax
- (518) 689-6881
- NPI assigned
- May 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Surgical Physician Assistant | 363AS0400X | 022253 | NY | Primary |
Addresses
Primary practice location
5 Care LN
Saratoga Springs, NY 12866-8623
Mailing address
121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663
Other practice location 1
121 Everett Rd Ste 100
Albany, NY 12205
Phone (518) 453-9088 ext. 3239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05348292 | Medicaid | NY |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Albany Medical College of Union University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663
2388 Route 9
Mechanicville, NY 12118-3433
Phone (518) 489-2663
5 Care LN
Saratoga Springs, NY 12866-8623
Phone (518) 489-2663
Hospital & facility affiliations
- Saratoga Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Promoting interoperability
- 75
- Improvement activities
- 40
- Cost
- 88.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedicsny, LLP | Current | Accepting new patients | |
| Orthopedicsny, LLP | Current | Accepting new patients |
Locations
121 Everett Rd
Ste 100
Albany, NY 12205
Phone 5184539088 ext. 3239
16 Maxwell Dr
Clifton Park, NY 12065
Phone (518) 557-1800
121 Everett Rd
Colonie, NY 12205
2388 Route 9
Mechanicville, NY 12118
Phone (518) 587-0845
5 Care Ln
Saratoga Springs, NY 12866
Phone (518) 587-0845
5 Care Ln
Ste 101
Saratoga Springs, NY 12866
Interoperability endpoints
- emoinzadeh@orthony.emadirect.md
- emoinzadeh100407@albanymed.direct-ci.com
Organizations & group practices 2
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.
-
- Specialist
- Albany, NY
- NPI 1568415412
-
- Orthopaedic Surgery Physician
- Schenectady, NY
- NPI 1588107015
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1700120482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1477044766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 EVERETT RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051474",
"telephone_number": "518-489-2663",
"fax_number": "518-689-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CARE LN",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128668623",
"telephone_number": "518-489-2663",
"fax_number": "518-689-6881"
}
],
"practiceLocations": [
{
"address_1": "121 Everett Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "12205",
"country_code": "US",
"telephone_number": "518-453-9088 x3239",
"fax_number": "518-371-6555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOINZADEH",
"first_name": "ELISE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "022253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05348292",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.