Moataz Yousef Haggag, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

227462 Issued in NY

Practice address

240 Patchogue Yaphank Rd
Suite 211
East Patchogue, NY 11772-4868

Phone

(631) 758-2815

Fax

(631) 206-9299

NPI assigned

Sep 22, 2006

Last updated

Sep 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Memorial Family Practice Associates, LLCGroup PAC ID 8820003411, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226

Merit-based Incentive Payment System (MIPS)

Final score

87.1 of 100Reported as group

Quality

61

Promoting interoperability

100

Improvement activities

40

Cost

72.76

Merit-based Incentive Payment System (MIPS)

Final score

85.52 of 100Reported as group

Quality

78.57

Promoting interoperability

99

Improvement activities

40

Cost

74

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health Medical Practice P.C.

  • Specialist
  • East Patchogue, NY
  • NPI 1033232467
  Medicare reassignment NPD Authorized official
• Memorial Family Practice Associates, LLC

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1598869844
  Medicare reassignment Care Compare group
• Brookhaven Memorial Hospital Medical Center, Inc.

  dba Brookhaven Memorial Hospital Palliative Care Dept.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Patchogue, NY
  • NPI 1417232760

  Single Specialty

  Medicare reassignment NPD
• Garnet Health Doctors PC

  • General Practice Physician
  • Middletown, NY
  • NPI 1093138851

  Single Specialty

  Medicare reassignment NPD
• Brookhaven Memorial Hospital Medical Center, Inc.

  dba Long Island Community Hospital

  • Psychiatry Physician
  • Patchogue, NY
  • NPI 1346429115

  Single Specialty

  NPD
• Long Island Community Hospital at NYU Langone Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shirley, NY
  • NPI 1902029796
  NPD
• County of Sullivan

  dba Sullivan County Department of Community Services

  • Community/Behavioral Health Agency
  • Liberty, NY
  • NPI 1417987165

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Orange Park Medical Center, Inc.

  dba HCA Florida Orange Park Hospital

  • General Acute Care Hospital
  • Orange Park, FL
  • NPI 1689611501
  Care Compare affiliation

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1508966565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FIG DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465657",
            "telephone_number": "516-314-9058",
            "fax_number": "631-206-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE 211",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724868",
            "telephone_number": "631-758-2815",
            "fax_number": "631-206-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 University Blvd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164207",
            "country_code": "US",
            "telephone_number": "904-702-6353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGAG",
        "first_name": "MOATAZ",
        "middle_name": "YOUSEF",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME155677",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "227462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irma Gugliotti, PT
• Ashutosh Gupta, M.D.
• Lisa Marie Haack, LMHC
• Denise Haberle-Kroog, D.O.
• Joanna Marie Haff, PHARMD
• Denise Hall
• Ping Hao, PHYSICIAN ASSISTANT
• Eden Diane Harrigan, MSPT
• Michael Haselkorn, D. D. S.
• Danielle Hatzidakis, LPN

• Psychiatry Physician in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.

Verify at the official NPI Registry.