Individual provider Active NPI

Jennifer A Mosmen, M.D.

  • Obstetrics & Gynecology Physician
  • Albany, NY
National Provider Identifier
1659378107
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
210121 Issued in NY
Practice address
319 South Manning Blvd
Suite 201
Albany, NY 12208-1743
Phone
(518) 489-3296
Fax
(518) 489-4663
NPI assigned
Jun 30, 2005
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 210121 NY Primary

Addresses

Primary practice location

319 South Manning Blvd
Suite 201
Albany, NY 12208-1743

Mailing address

PO Box 8915
Albany, NY 12208-0915
Phone (518) 489-3296

Other identifiers 1

IdentifierTypeStateIssuer
01856697MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000616 NY Practitioner - Obstetrics/Gynecology 8123143799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Connecticut School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Obstetrics and Gynecology PCGroup PAC ID 0840470977, 12 clinicians

Practice addresses (Care Compare)

319 S Manning Blvd
Suite 201
Albany, NY 12208-1743
Phone (518) 489-3296

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
210121NYMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: drjennifermosmen@albanyobgyn.medentdirect.com
  • Direct secure messaging: jmosmen789107@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1659378107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8915",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122080915",
            "telephone_number": "518-489-3296",
            "fax_number": "518-489-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SOUTH MANNING BLVD",
            "address_2": "SUITE 201",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081743",
            "telephone_number": "518-489-3296",
            "fax_number": "518-489-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSMEN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "210121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01856697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.