Ali Moazen, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005024 Issued in NY

Practice address

260 W Sunrise Hwy Ste 200
Valley Stream, NY 11581-1015

Phone

(516) 825-3600

Fax

(516) 872-5137

NPI assigned

May 25, 2006

Last updated

Sep 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: amoazen3771@direct.acpny.com
• FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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.

• Advantagecare Physicians PC

  dba AdvantageCare Physicians

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment Care Compare group NPD
• Advantagecare Physicians PC

  dba AdvantageCare Physicians Urgent Care

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1063954113
  NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1548216500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W SUNRISE HWY STE 200",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811015",
            "telephone_number": "516-825-3600",
            "fax_number": "516-872-5137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88-31 55th Avenue",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113734686",
            "country_code": "US",
            "telephone_number": "718-899-6600",
            "fax_number": "718-606-3881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Charles Lindbergh Blvd.",
            "address_purpose": "LOCATION",
            "city": "Suite 100",
            "state": "NY",
            "postal_code": "115533634",
            "country_code": "US",
            "telephone_number": "516-483-2020",
            "fax_number": "516-560-1855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206-20 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Cambria Heights",
            "state": "NY",
            "postal_code": "114111524",
            "country_code": "US",
            "telephone_number": "718-479-6600",
            "fax_number": "718-264-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOAZEN",
        "first_name": "ALI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A Mittler, D.D.S.,M.S.
• Lenke Mizrachi-Florentziu, NP
• MKR Medical PC
• Marzena Mleczko, DPM
• Natan Mlenarsky
• Mobile Dental Anesthesiology of New York PC
• Gerald Mohabir, OTR/L
• Karim Mohamed, PA-C
• Barry Mohan, DNP
• Lorraine Mohan

• Podiatrist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.