Individual provider Active NPI

Luis E. Moquete, M.D.

  • General Practice Physician
  • Bronx, NY
National Provider Identifier
1740410141
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
163733 Issued in NY
Practice address
486 E Tremont Ave
Bronx, NY 10457-4437
Phone
(646) 393-5146
Fax
(646) 393-5150
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 163733 NY Primary

Addresses

Primary practice location

486 E Tremont Ave
Bronx, NY 10457-4437

Mailing address

70 Locust Ave
Apartment 103 B
New Rochelle, NY 10801-7361
Phone (407) 808-3151

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

LicenseStateTypeSpecialty
163733NYMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1740410141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LOCUST AVE",
            "address_2": "APARTMENT 103 B",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017361",
            "telephone_number": "407-808-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574437",
            "telephone_number": "646-393-5146",
            "fax_number": "646-393-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOQUETE",
        "first_name": "LUIS",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "163733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.