Active NPI
Vonai Mary Moyo, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1669941670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10656
- Practice address
- 75 Varick St
New York, NY 10013-1917 - Phone
- (855) 672-2755
- NPI assigned
- Nov 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA64233 | CA | |
| Physician Assistant | 363A00000X | TPPA641 | FL | |
| Physician Assistant | 363A00000X | 13550379-1206 | UT | |
| Medical Physician Assistant | 363AM0700X | C0007023 | MD | |
| Physician Assistant | 363A00000X | 10656 | GA | Primary |
Addresses
Primary practice location
75 Varick St
New York, NY 10013-1917
Mailing address
75 Varick St
New York, NY 10013-1917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 50.89 of 100
- Quality
- 13.1
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 73.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA64233 | CA | MD | Physician Assistant |
| TPPA641 | FL | MD | Physician Assistant |
| 13550379-1206 | UT | MD | Physician Assistant |
| C0007023 | MD | MD | Medical Physician Assistant |
Interoperability endpoints
- vmoyo823197@direct.hopkinsmedicine.org
- vonai.moyo.1@14883.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720051200000",
"number": "1669941670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 VARICK ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100131917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 VARICK ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100131917",
"telephone_number": "855-672-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYO",
"first_name": "VONAI",
"middle_name": "MARY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2024-07-04",
"certification_date": "2024-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA64233",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "TPPA641",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "13550379-1206",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0007023",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "10656",
"primary": true
}
],
"identifiers": [],
"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 Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.