NPIMap

Organization Active NPI

Edward Moss MD PC

  • Urology Physician
  • Forest Hills, NY
National Provider Identifier
1588093686
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
EDWARD MOSS MD PC
Practice address
10828 68TH Dr
Forest Hills, NY 11375-2951
Phone
(718) 520-0028
Fax
(718) 520-1544
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Edward N. Moss, MD
Title
Owner
Phone
(718) 520-0028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

10828 68TH Dr
Forest Hills, NY 11375-2951

Mailing address

10828 68TH Dr
Forest Hills, NY 11375-2951
Phone (718) 520-0028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1588093686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10828 68TH DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752951",
            "telephone_number": "718-520-0028",
            "fax_number": "718-520-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 68TH DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752951",
            "telephone_number": "718-520-0028",
            "fax_number": "718-520-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD MOSS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-520-0028",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.