Active NPI
Emily Moss, PA-C
- Surgical Physician Assistant
- Islandia, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 026926
- Practice address
- 1345 Motor Pkwy FL 1
Islandia, NY 11749-5208 - Phone
- (516) 616-5500
- NPI assigned
- Aug 2, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 026926 | NY | Primary |
Addresses
Primary practice location
1345 Motor Pkwy FL 1
Islandia, NY 11749-5208
Mailing address
125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2042
Phone (516) 616-5500
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026926 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Single Specialty | Current | Accepting new patients |
| CHS Physician Partners, P.C | Single Specialty | Current | Accepting new patients |
| CHS Physician Partners, PC | Single Specialty | Current | Accepting new patients |
| Mercy Medical Center | Single Specialty | Current | Accepting new patients |
| St Charles Hospital Corp | Single Specialty | Current | Accepting new patients |
| Nrad Medical Associates, PC | Single Specialty | Past | Accepting new patients |
| Bethpage Medical, PLLC | Single Specialty | Past | Accepting new patients |
Locations
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600
55 Medford Ave
Unit D
Patchogue, NY 11772
Phone (631) 475-3020
300 Community Dr
Plandome, NY 11030
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- emeyer69594@northwell.direct-ci.com
- nybg.emilymoss@136202.advancedmd-direct.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1497765630
Single Specialty
-
- Specialist
- Roslyn Heights, NY
- NPI 1164898821
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
Single Specialty
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Specialist
- Roslyn Heights, NY
- NPI 1356545867
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Specialist
- Bethpage, NY
- NPI 1881799153
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
Single Specialty
-
- Pain Medicine (Anesthesiology) Physician
- Greenvale, NY
- NPI 1124497771
Single Specialty
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
Single Specialty
-
- Obstetrics & Gynecology Physician
- Garden City, NY
- NPI 1205074739
Single Specialty
-
- Diagnostic Radiology Physician
- Garden City, NY
- NPI 1841228582
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1619640943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MINEOLA AVE STE 200",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 MOTOR PKWY FL 1",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495208",
"telephone_number": "516-616-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "EMILY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "026926",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.