Organization Active NPI

Moshenyat LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1508347873
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MOSHENYAT LLC
Practice address
1958 Ocean Ave Ste 1
Brooklyn, NY 11230-7618
Phone
(718) 787-0980
Fax
(718) 787-0982
NPI assigned
Aug 24, 2018
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Mrs. Anna Moshenyat
Title
Administrator
Phone
(718) 645-8901

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1958 Ocean Ave Ste 1
Brooklyn, NY 11230-7618

Mailing address

1958 Ocean Ave Ste 1
Brooklyn, NY 11230-7618
Phone (718) 787-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190709001879 NY Part B Supplier - Ambulatory Surgical Center 5597090894 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Moshenyat LLC Dba Moshenyat Gastroenterology CenterCCN 33C0001200
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2161631Moshenyat LLC1958 Ocean Ave, Brooklyn, NY 11230Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1958 Ocean Ave
Ste 1
Brooklyn, NY 11230
Phone (718) 645-4573

1958 Ocean Ave
Ste 2
Brooklyn, NY 11230

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1508347873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 OCEAN AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307618",
            "telephone_number": "718-787-0980",
            "fax_number": "718-787-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 OCEAN AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307618",
            "telephone_number": "718-787-0980",
            "fax_number": "718-787-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHENYAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "MOSHENYAT",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-645-8901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.