Active NPI
Tyler Ross Moldoff, DPT
- Orthopedic Physical Therapist
- New York, NY
National Provider Identifier
1639886526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 770 Lexington Ave
New York, NY 10065-8165 - Phone
- (646) 618-7777
- NPI assigned
- Nov 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NJ | ||
| Orthopedic Physical Therapist | 2251X0800X | NY | Primary |
Addresses
Primary practice location
770 Lexington Ave
New York, NY 10065-8165
Mailing address
196 Wallington Ave
Wallington, NJ 07057-1226
Phone (201) 600-1855
Other practice location 1
1133 Westchester Ave
White Plains, NY 10604-3516
Phone (914) 821-9100
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmoldoff283490@direct.HSS.edu | Direct | |
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ | Other | |
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Other |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New Jersey Center of Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- tmoldoff283490@direct.hss.edu
Organizations & group practices 1
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.
-
- Physical Therapist
- Riverdale, NJ
- NPI 1063508174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1639886526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 WALLINGTON AVE",
"city": "WALLINGTON",
"state": "NJ",
"postal_code": "070571226",
"telephone_number": "201-600-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658165",
"telephone_number": "646-618-7777"
}
],
"practiceLocations": [
{
"address_1": "1133 Westchester Ave",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106043516",
"country_code": "US",
"telephone_number": "914-821-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLDOFF",
"first_name": "TYLER",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-01",
"last_updated": "2024-08-02",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmoldoff283490@direct.HSS.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "770 Lexington Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100658165",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "HSS FHIR Current",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "API",
"address_1": "770 Lexington Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100658165",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "HSS FHIR Legacy",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "API",
"address_1": "770 Lexington Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100658165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.