Deborah Ann Moerck-Johnson, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

217654 Issued in NY

Practice address

312 Long Beach Rd
Island Park, NY 11558-1510

Phone

(516) 897-5000

Fax

(516) 431-7519

NPI assigned

Nov 1, 2006

Last updated

Apr 13, 2009By the provider in NPPES

Sex

Female

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECBGBD

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.

• Empire Pediatrics PLLC

  • Pediatrics Physician
  • East Meadow, NY
  • NPI 1629808282
  Medicare reassignment NPD
• John Zaso DO PC

  • Family Medicine Physician
  • East Meadow, NY
  • NPI 1336726223

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1619054855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 LONG BEACH RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581510",
            "telephone_number": "516-897-5000",
            "fax_number": "516-431-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 LONG BEACH RD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581510",
            "telephone_number": "516-897-5000",
            "fax_number": "516-431-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERCK-JOHNSON",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "217654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Alexander Mesoraca, DPT
• Raymond Miley
• Sherley Millet, M.D.
• Kelly F Mirro
• Umme Mobassera, MD
• Eva Monioudis, PT, DPT
• Gina Marie Moravcik, MASLPCCC
• Matthew Moskowitz, DPT
• Mount Joy Physical Therapy, P.C.
• Stephanie Ann Mulvey

• Pediatrics Physician in Island Park, NY
• Providers in Island Park, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.

Verify at the official NPI Registry.