Individual provider Active NPI

Moises Acevedo, P.A.

  • Medical Physician Assistant
  • Bronx, NY
National Provider Identifier
1497199202
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
016505 Issued in NY
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

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001001299 NY Practitioner - Physician Assistant 7416208426 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
George Romar MD PLLC CurrentSince Dec 6, 2025 Accepting new patients
Advanced Dermatology of New York PC CurrentSince Sep 17, 2018 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.

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

Verify at the official NPI Registry.