Active NPI
Moises Acevedo, P.A.
- Medical Physician Assistant
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 016505
- Practice address
- 3751 Riverdale Ave
Bronx, NY 10463-1815 - Phone
- (917) 899-4787
- NPI assigned
- Apr 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 016505 | NY | Primary |
Addresses
Primary practice location
3751 Riverdale Ave
Bronx, NY 10463-1815
Mailing address
10 Ridgeview Ave
Yonkers, NY 10710-5420
Phone (914) 771-0717
Other practice location 1
65 Fort Washington Ave Apt 1B
New York, NY 10032-4644
Phone (718) 872-9400
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
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 Ridgeview Ave
Yonkers, NY 10710-5420
65 Fort Washington Ave
Apt 1B
New York, NY 10032-4644
8002 Kew Gardens Rd
Kew Gardens, NY 11415-3611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George Romar MD PLLC | Current | Accepting new patients | |
| Advanced Dermatology of New York PC | Current | Accepting new patients |
Locations
6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160
65 Fort Washington Ave
Apt 1B
New York, NY 10032
Phone (718) 872-9400
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.
-
- Dermatology Physician
- New York, NY
- NPI 1083610521
-
- Dermatology Physician
- New York, NY
- NPI 1073477790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1497199202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 RIDGEVIEW AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107105420",
"telephone_number": "914-771-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 RIVERDALE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104631815",
"telephone_number": "917-899-4787"
}
],
"practiceLocations": [
{
"address_1": "65 Fort Washington Ave Apt 1B",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100324644",
"country_code": "US",
"telephone_number": "718-872-9400",
"fax_number": "718-310-6198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACEVEDO",
"first_name": "MOISES",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-23",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "016505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.