Individual provider Active NPI

Anna Nicole Moskovitz

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1649868761
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116396 Issued in FL
Practice address
98 S Federal Hwy
Boca Raton, FL 33432-4825
Phone
(561) 368-0777
NPI assigned
Jan 5, 2021
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116396 FL Primary

Addresses

Primary practice location

98 S Federal Hwy
Boca Raton, FL 33432-4825

Mailing address

98 S Federal Hwy
Boca Raton, FL 33432-4825
Phone (561) 368-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012003817 FL Practitioner - Physician Assistant 1658747852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siperstein Dermatology Group PLLCGroup PAC ID 3476683145, 18 clinicians

Practice addresses (Care Compare)

950 Glades Rd
FL 4
Boca Raton, FL 33431-6401
Phone 5619558885327

9897 Hagen Ranch Rd
Boynton Beach, FL 33437-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116396FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Dermatology LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amoskovitz@siperstein.emadirect.md

Organizations & group practices 2

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1649868761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324825",
            "telephone_number": "561-368-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324825",
            "telephone_number": "561-368-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOVITZ",
        "first_name": "ANNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.