Active NPI
Carole Lysaght Moodhe, M.D.
- Internal Medicine Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 181854
- Practice address
- 2 Pro Health PLZ
New Hyde Park, NY 11042-1111 - Phone
- (516) 506-6885
- Fax
- (516) 608-6824
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 181854 | NY | |
| Internal Medicine Physician | 207R00000X | 181854 | NY | Primary |
Addresses
Primary practice location
2 Pro Health PLZ
New Hyde Park, NY 11042-1111
Mailing address
2 Pro Health PLZ
New Hyde Park, NY 11042-1111
Phone (516) 506-6885
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01437714 | Medicaid | NY | |
| 06399 | Other | NY | GHI MEDICARE |
| 62K521 | Other | NY | EMPIRE MEDICARE |
| 00738981 | Medicaid | NY | |
| 260AD1 | Other | NY | EMPIRE BCBS MEDICARE |
| AP603 | Other | NY | OXFORD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Hospital & facility affiliations
- North Shore Home Care Chha
- Catholic Home Care
- North Shore University Hospital
- St Francis Hospital - the Heart Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181854 | NY | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Urgent Care, PLLC | Past | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
Philadelphia, PA 19195
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1659440170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PRO HEALTH PLZ",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421111",
"telephone_number": "516-506-6885",
"fax_number": "516-608-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PRO HEALTH PLZ",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421111",
"telephone_number": "516-506-6885",
"fax_number": "516-608-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODHE",
"first_name": "CAROLE",
"middle_name": "LYSAGHT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "181854",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "181854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01437714",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "06399",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MEDICARE",
"identifier": "62K521",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00738981",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS MEDICARE",
"identifier": "260AD1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD MEDICARE",
"identifier": "AP603",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.