Moataz Yousef Haggag, M.D.
Individual provider Active NPI Psychiatry Physician · East Patchogue, NY
NPI 1508966565 · NPPES record last updated Sep 2, 2022
Key facts
- NPI
- 1508966565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 227462 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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, LLC
Practice addresses (Care Compare)
1731 University Blvd S
Jacksonville, FL 32216-8928
Phone (904) 725-0200
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-8500
240 Patchogue Yaphank Rd
Suite 211
East Patchogue, NY 11772-4894
Phone (631) 758-2815
Hospital & facility affiliations
- HCA Florida Orange Park Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.76
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.52 of 100
- Quality
- 78.57
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040514000386 | NY | Practitioner - Psychiatry | 3971593633 | Reassigns benefits to 3 organizations |
| I20220520002384 | FL | Practitioner - Psychiatry | 3971593633 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227462 | NY | MD | Psychiatry Physician |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garnet Health Doctors PC | Single Specialty | Current |
Accepting new patients |
| Behavioral Health Medical Practice P.C. | Specialist | Current |
Accepting new patients |
| Brookhaven Memorial Hospital Medical Center, Inc. | Single Specialty | Current | Accepting new patients |
| Brookhaven Memorial Hospital Medical Center, Inc. | Single Specialty | Current |
Accepting new patients |
| Long Island Community Hospital at NYU Langone Health | Current |
Accepting new patients | |
| County of Sullivan | Single Specialty | Past |
Accepting new patients |
Locations
240 Patchogue Yaphank Rd
Ste 211
East Patchogue, NY 11772
Phone (631) 758-2815
3115 Horseblock Rd
Medford, NY 11763
Phone (631) 730-3000
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
627 Broadway
North Massapequa, NY 11758
Phone (516) 541-4171
200 E Main St
Patchogue, NY 11772
Phone (631) 654-9400
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
550 Montauk Hwy
Shirley, NY 11967
Phone (631) 852-1000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Psychiatry Physician | 2084P0800X | ME155677 | FL | |
| Psychiatry Physician |
2084P0800X | 227462 | NY | Yes |
Addresses
Primary practice location
240 Patchogue Yaphank Rd
Suite 211
East Patchogue, NY 11772-4868
Mailing address
110 Fig Dr
Dix Hills, NY 11746-5657
Phone (516) 314-9058
Other practice location 1
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 702-6353
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02519060 | Medicaid | NY |
Other providers in East Patchogue, NY
- Irma Gugliotti
- Ashutosh Gupta
- Lisa Marie Haack
- Denise Haberle-Kroog
- Joanna Marie Haff
- Denise Hall
- Ping Hao
- Eden Diane Harrigan
- Michael Haselkorn
- Danielle Hatzidakis
All providers in East Patchogue, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.