Marie Jacqueline Moises MD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

151357 Issued in NY

Legal business name

MARIE JACQUELINE MOISES MD

Practice address

21517 Jamaica Ave
Queens Village, NY 11428-1715

Phone

(718) 740-3106

NPI assigned

Apr 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marie Jacqueline MoisesNPI 1023070513

Title

Sole Proprietor

Phone

(718) 740-3106

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie Jacqueline Moises, MD

  • Pediatrics Physician
  • Queens Village, NY
  • NPI 1023070513
  NPD (past) Authorized official
• Olusegun M Adeonigbagbe, M.D.

  • Gastroenterology Physician
  • Hollis, NY
  • NPI 1073570081
  NPD (past)
• Marcel Benoit, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1609855725
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659333144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21517 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21517 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281715",
            "telephone_number": "718-740-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE JACQUELINE MOISES MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOISES",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "718-740-3106"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "151357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01163859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sosamma K Mani
• Irene E Maningas, PHARM D
• Ansoiya Maraj
• Flore Lynda Marcelin, RN
• Barbara Marcus, LCSW-R
• Marina Vazura Speech & Language Corp.
• Ramona Marrero
• Ashley Domonique Marshall Walker, OD
• Martinex Msed LLC
• Idelka Martinez, M.S.ED

• Legal Medicine in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.