Individual provider Active NPI

Marian Moca, M.D.

  • Child & Adolescent Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1558560458
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
275172 Issued in NY
Practice address
One Brookdale Plaza
Brooklyn, NY 11212
Phone
(718) 240-6470
Fax
(718) 240-5451
NPI assigned
Jul 12, 2007
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 275172 NY Primary

Addresses

Primary practice location

One Brookdale Plaza
Brooklyn, NY 11212

Mailing address

One Brookdale Plaza
Brooklyn, NY 11212
Phone (718) 240-6470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150219000663 NY Practitioner - Psychiatry 0941350821 Reassigns benefits to 1 organization
I20250512002860 KS Practitioner - Psychiatry 0941350821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Four County Mental Health Center IncGroup PAC ID 7012904071, 22 clinicians

Practice addresses (Care Compare)

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426

3354 Hwy 160
Independence, KS 67301-7841
Phone (620) 331-1748

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275172NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Oct 22, 2025 Accepting new patients
Four County Mental Health Center, Inc. CurrentSince Mar 17, 2025 Accepting new patients
Four County Mental Health Center Inc CurrentSince Mar 17, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Oct 22, 2025 Accepting new patients
Hartford Community Mental Health Center Inc. CurrentSince Jul 10, 2011 Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients

Locations

2550 Main St
Hartford, CT 06120
Phone (860) 548-0101

2550 Main St
Fl 3
Hartford, CT 06120
Phone (860) 548-0101

3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

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

4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163

Interoperability endpoints

  • Direct secure messaging: marianmoca@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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1558560458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BROOKDALE PLAZA",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-6470",
            "fax_number": "718-240-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BROOKDALE PLAZA",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-6470",
            "fax_number": "718-240-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCA",
        "first_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "275172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.