Active NPI
Michel F Moulin, MD
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1659400208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 134945
- Practice address
- 210 East 47TH St
1C
New York, NY 10017 - Phone
- (212) 832-0550
- Fax
- (212) 439-7755
- NPI assigned
- Mar 2, 2007
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 134945 | NY | Primary |
| General Practice Physician | 208D00000X | 134945 | NY |
Addresses
Primary practice location
210 East 47TH St
1C
New York, NY 10017
Mailing address
210 East 47 St
1C
New York, NY 10017
Phone (212) 832-0550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00552878 | Medicaid | NY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134945 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1659400208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 EAST 47 ST",
"address_2": "1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "212-832-0550",
"fax_number": "212-439-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 EAST 47TH ST",
"address_2": "1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "212-832-0550",
"fax_number": "212-439-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULIN",
"first_name": "MICHEL",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "134945",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "134945",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00552878",
"state": "NY"
}
],
"endpoints": [],
"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 Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.