Active NPI
Damian Moskal, M.D.
- Neurology Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 308688
- Practice address
- 114 Woodland St
Hartford, CT 06105-1208 - Phone
- (860) 522-3711
- Fax
- (860) 493-1885
- NPI assigned
- Mar 31, 2017
- Last updated
- Sep 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Neurology Physician | 2084N0400X | 308688 | NY | Primary |
| Epilepsy Physician | 2084E0001X | 308688 | NY |
Addresses
Primary practice location
114 Woodland St
Hartford, CT 06105-1208
Mailing address
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 522-3711
Other practice location 1
47 Palomba Dr
Enfield, CT 06082-3847
Phone (860) 522-3711
Other practice location 2
56 Franklin St
Waterbury, CT 06706-1253
Phone (860) 522-3711
Other practice location 3
1000 Asylum Ave Ste 2112
Hartford, CT 06105-1719
Phone (860) 522-3711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Hofstra North Shore - Lij School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000
271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308688 | NY | MD | Epilepsy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Mercy Inpatient Medical Associates Inc. | Current | Accepting new patients |
Locations
1300 Hall Blvd
Bloomfield, CT 06002
1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376
47 Palomba Dr
Enfield, CT 06082
Phone (860) 253-5020
1000 Asylum Ave
Ste 2112
Hartford, CT 06105
Phone (860) 714-4749
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
Interoperability endpoints
- dmoskal2382006@direct.trinity-health.org
Organizations & group practices 3
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.
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Springfield, MA
- NPI 1407845282
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Stafford Springs, CT
- NPI 1053480293
-
- General Acute Care Hospital
- Stafford Springs, CT
- NPI 1932123569
-
- General Acute Care Hospital
- Stafford Springs, CT
- NPI 1972728442
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
-
dba Mercy Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1043204316
-
dba Mercy Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Springfield, MA
- NPI 1750360798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1528590395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051208",
"telephone_number": "860-522-3711",
"fax_number": "860-493-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051208",
"telephone_number": "860-522-3711",
"fax_number": "860-493-1885"
}
],
"practiceLocations": [
{
"address_1": "47 Palomba Dr",
"address_purpose": "LOCATION",
"city": "Enfield",
"state": "CT",
"postal_code": "060823847",
"country_code": "US",
"telephone_number": "860-522-3711",
"fax_number": "860-493-1885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "56 Franklin St",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067061253",
"country_code": "US",
"telephone_number": "860-522-3711",
"fax_number": "860-493-1885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Asylum Ave Ste 2112",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061051719",
"country_code": "US",
"telephone_number": "860-522-3711",
"fax_number": "860-493-1885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSKAL",
"first_name": "DAMIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-31",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "308688",
"primary": true
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "NY",
"license": "308688",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.