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

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.

Hospital & facility affiliations 1

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

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 (50 clinicians)

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 Hospital · Orange Park, FL · CCN 100226

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100 (group)
Quality
61
Promoting interoperability
100
Improvement activities
40
Cost
72.76

Merit-based Incentive Payment System (MIPS)

Final score
85.52 of 100 (group)
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
227462NYMDPsychiatry Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Garnet Health Doctors PC Single Specialty Current
since Aug 10, 2022
Accepting new patients
Behavioral Health Medical Practice P.C. Specialist Current
since Jul 1, 2007
Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Single Specialty Current Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Single Specialty Current
since Sep 2, 2018
Accepting new patients
Long Island Community Hospital at NYU Langone Health Current
since Sep 2, 2018
Accepting new patients
County of Sullivan Single Specialty Past
since Dec 8, 2024
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)CodeLicenseStatePrimary
Specialist 174400000X
Psychiatry Physician 2084P0800X ME155677 FL
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

IdentifierTypeStateIssuer
02519060MedicaidNY

Other providers in East Patchogue, NY

All providers in East Patchogue, NY · Psychiatry Physician in New York

Sources for this page

Verify at the official NPI Registry.