Organization Active NPI

Moses Medical Services PLLC

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1497910350
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
239137 Issued in NY
Legal business name
MOSES MEDICAL SERVICES PLLC
Practice address
30 Borman Ave
Staten Island, NY 10314-4957
Phone
(877) 330-5818
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Paula C Brown, MD
Title
Owner
Phone
(877) 330-5818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 239137 NY Primary

Addresses

Primary practice location

30 Borman Ave
Staten Island, NY 10314-4957

Mailing address

30 Borman Ave
Staten Island, NY 10314-4957
Phone (877) 330-5818

Other identifiers 1

IdentifierTypeStateIssuer
02942198MedicaidNY

National Provider Directory

National Provider Directory

Locations

11 Ralph Pl
Ste 211
Staten Island, NY 10304
Phone (347) 556-7180

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1497910350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BORMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144957",
            "telephone_number": "877-330-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BORMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144957",
            "telephone_number": "877-330-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-330-5818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "239137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02942198",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.