Individual provider Active NPI

Neeta Moonka, M.D.

  • Anesthesiology Physician
  • Latham, NY
National Provider Identifier
1578664926
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1684251 Issued in NY
Practice address
5 Johnson Rd
Latham, NY 12110-3096
Phone
(518) 782-1181
Fax
(914) 725-8877
NPI assigned
Sep 26, 2006
Last updated
May 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 1684251 NY Primary

Addresses

Primary practice location

5 Johnson Rd
Latham, NY 12110-3096

Mailing address

5 Patriots Farm PL
Armonk, NY 10504-2810
Phone (914) 725-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1684251NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Emo of Ny, PC Past Accepting new patients
Morris Avenue Endoscopy LLC Anesthesiology Past Accepting new patients
Northern Valley Anesthesiology, P.a. Anesthesiology Past Accepting new patients
Outpatient Management Services LLC Anesthesiology Past Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology PastSince Sep 1, 2022 Accepting new patients
Morris Avenue Endoscopy LLC Past Accepting new patients
Gastro-Surgi Center of New Jersey Anesthesiology PastSince Feb 4, 1993 Accepting new patients
Gastro-Surgi Center of New Jersey PastSince May 11, 2025 Accepting new patients

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1578664926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PATRIOTS FARM PL",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042810",
            "telephone_number": "914-725-8855",
            "fax_number": "914-725-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOHNSON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103096",
            "telephone_number": "518-782-1181",
            "fax_number": "914-725-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONKA",
        "first_name": "NEETA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "1684251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.