Individual provider Active NPI

Jason A. Moche, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1710010103
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
251610 Issued in NY
Practice address
18 E 48TH St FL 2
New York, NY 10017
Phone
(646) 868-4300
Fax
(646) 868-4495
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 251610 NY
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 251610 NY Primary

Addresses

Primary practice location

18 E 48TH St FL 2
New York, NY 10017

Mailing address

660 White Plains Rd FL 4
Tarrytown, NY 10591-5139
Phone (914) 984-2546

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
I20091119000319 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 0244378826 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Icahn School of Medicine at Mount Sinai, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

18 E 48TH St
FL 2
New York, NY 10017-1014
Phone (646) 868-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251610NYMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP Otolaryngology CurrentSince Nov 1, 2017 Accepting new patients
Trustees of Columbia University in the City of New York Otolaryngology CurrentSince Jan 1, 2014 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 1, 2014 Accepting new patients
Isabella Geriatric Center, Inc. CurrentSince Dec 1, 2012 Accepting new patients
Harlem Medical Associates PC CurrentSince Feb 16, 2011 Accepting new patients
ENT and Allergy Associates of Pennsylvania PLLC Otolaryngology Past Accepting new patients
Trustees of Columbia University in the City of New York Otolaryngology Past Accepting new patients

Locations

3119 Newtown Ave
Ste 201
Astoria, NY 11102
Phone (718) 631-8899

506 Malcolm X Blvd
#522
New York, NY 10037
Phone (212) 491-1583

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

515 Audubon Ave
New York, NY 10040
Phone (212) 342-9200

180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535

18 E 48th St
Fl 2
New York, NY 10017
Phone (212) 935-8725

310 E 14th St
#1
New York, NY 10003

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

180 Fort Washington Ave
Fl 7
New York, NY 10032
Phone (212) 305-5242

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jmoche67559@northwell.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jason.moche@direct.entandallergy.nextgenshare.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1710010103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD FL 4",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915139",
            "telephone_number": "914-984-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 48TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "646-868-4300",
            "fax_number": "646-868-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCHE",
        "first_name": "JASON",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "251610",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "251610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.