Active NPI
Milad Parsa Moqadam, MD
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1548980709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 346000
- Practice address
- 1650 Grand Concourse
Bronx, NY 10457-7697 - Phone
- (718) 590-1800
- NPI assigned
- Aug 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 346000 | NY | Primary |
Addresses
Primary practice location
1650 Grand Concourse
Bronx, NY 10457-7697
Mailing address
2175 Quarry Rd
Bronx, NY 10457-1663
Phone (718) 960-3917
Other practice location 1
1060 Amsterdam Ave
New York, NY 10025-1715
Phone (212) 316-7700
Other practice location 2
2175 Quarry Rd
Bronx, NY 10457-1663
Phone (718) 960-3917
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | AllScript |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221018002800 | NY | Practitioner - Internal Medicine | 2264808187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P115719 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1548980709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 QUARRY RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104571663",
"telephone_number": "718-960-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104577697",
"telephone_number": "718-590-1800"
}
],
"practiceLocations": [
{
"address_1": "1060 Amsterdam Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100251715",
"country_code": "US",
"telephone_number": "212-316-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2175 Quarry Rd",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104571663",
"country_code": "US",
"telephone_number": "718-960-3917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOQADAM",
"first_name": "MILAD",
"middle_name": "PARSA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-29",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "346000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "AllScript",
"affiliation": "N",
"address_1": "1650 Grand Concourse",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104577697",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.