Organization Active NPI

Moehlen Medical Group PC

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1700036795
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
156500 Issued in NY
Legal business name
MOEHLEN MEDICAL GROUP PC
Practice address
128 E 75TH St
New York, NY 10021-3291
Phone
(212) 737-6222
Fax
(212) 570-9362
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Mr. Karl-Heinz Moehlen, M.D.
Title
President
Phone
(212) 737-6222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 156500 NY Primary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 145561 NY

Addresses

Primary practice location

128 E 75TH St
New York, NY 10021-3291

Mailing address

128 E 75TH St
New York, NY 10021-3291
Phone (212) 737-6222

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0887838Moehlen Medical PC128 E 75TH St, New York, NY 10021Provider-performed microscopyOct 12, 2027

National Provider Directory

National Provider Directory

Locations

128 E 75th St
New York, NY 10021
Phone (212) 737-6222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1700036795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E 75TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213291",
            "telephone_number": "212-737-6222",
            "fax_number": "212-570-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E 75TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213291",
            "telephone_number": "212-737-6222",
            "fax_number": "212-570-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOEHLEN MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "MOEHLEN",
        "authorized_official_first_name": "KARL-HEINZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-737-6222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "156500",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "145561",
            "primary": false
        }
    ],
    "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 Sep 25, 2008; 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.

Verify at the official NPI Registry.