Individual provider Active NPI

Yitzchak Moshenyat, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1528012259
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
235908 Issued in NY
Practice address
1958 Ocean Ave
Brooklyn, NY 11230-7617
Phone
(718) 645-8901
Fax
(718) 645-7970
NPI assigned
May 19, 2006
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 235908 NY Primary

Addresses

Primary practice location

1958 Ocean Ave
Brooklyn, NY 11230-7617

Mailing address

1958 Ocean Ave
Brooklyn, NY 11230-7617
Phone (718) 645-8901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051026001073 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 0941227292 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Medical Group PCGroup PAC ID 9739191339, 5 clinicians

Practice addresses (Care Compare)

1958 Ocean Ave
Brooklyn, NY 11230-6719
Phone (718) 645-8901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.34 of 100Reported as individual
Quality
70
Improvement activities
40
Cost
72.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy136
Upper gastrointestinal (GI) endoscopy for acid reflux160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Dec 7, 2016 Accepting new patients
Maimonides Medical Center Current Accepting new patients
TBHC Physician Services PC Gastroenterology CurrentSince Jul 29, 2021 Accepting new patients
Moshenyat LLC Gastroenterology CurrentSince Sep 8, 2021 Accepting new patients
Advanced Medical Group PC Gastroenterology CurrentSince Nov 16, 2005 Accepting new patients
Maimonides Medical Center - MMC Gastroenterology FPP Gastroenterology CurrentSince Dec 7, 2016 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

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

2044 Ocean Ave
Ste A3
Brooklyn, NY 11230
Phone (718) 377-3710

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

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

Interoperability endpoints

  • Direct secure messaging: yitzchakmoshenyat@mai.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1528012259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307617",
            "telephone_number": "718-645-8901",
            "fax_number": "718-645-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307617",
            "telephone_number": "718-645-8901",
            "fax_number": "718-645-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHENYAT",
        "first_name": "YITZCHAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "235908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.