Individual provider Active NPI

Michael A. Moskowitz, D.D.S.

  • Dentist
  • Albertson, NY
National Provider Identifier
1487812269
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
032803 Issued in NY
Practice address
1041 Willis Ave
Albertson, NY 11507-1333
Phone
(516) 484-2676
Fax
(516) 484-2907
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 032803 NY Primary

Addresses

Primary practice location

1041 Willis Ave
Albertson, NY 11507-1333

Mailing address

1041 Willis Ave
Albertson, NY 11507-1333
Phone (516) 484-2676

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322001792 NY Order and Referring Only - DentistPractitioner - Other (Physician)Practitioner - Dentist 2668779463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: michael.moskowitz.1@13063.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1487812269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071333",
            "telephone_number": "516-484-2676",
            "fax_number": "516-484-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071333",
            "telephone_number": "516-484-2676",
            "fax_number": "516-484-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "032803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

Verify at the official NPI Registry.