Individual provider Active NPI

Boris Mosheyev, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1740726181
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341209-1 Issued in NY
Practice address
4626 White Plains Rd
Bronx, NY 10470-1610
Phone
(718) 547-4077
NPI assigned
Jan 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341209-1 NY Primary

Addresses

Primary practice location

4626 White Plains Rd
Bronx, NY 10470-1610

Mailing address

4626 White Plains Rd
Bronx, NY 10470-1610
Phone (718) 547-4077

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170503000108 NY Practitioner - Nurse Practitioner 2264719194 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
B and L Health IncGroup PAC ID 9830124908, 26 clinicians
Balm of Gilead Medical Office, PCGroup PAC ID 5799697223, 4 clinicians
Ajay 28 LLCGroup PAC ID 9830436328, 16 clinicians

Practice addresses (Care Compare)

1655 E 13TH St
Brooklyn, NY 11229-1101
Phone (718) 339-6300

4626 White Plains Rd
Bronx, NY 10470-1610
Phone (718) 547-4077

6860 Austin St
Forest Hills, NY 11375-4245
Phone (718) 997-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F341209-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay 28 LLC CurrentSince Feb 1, 2026 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Sep 3, 2018 Accepting new patients
The Partners Care Family CurrentSince Sep 22, 2024 Accepting new patients
B & L Health Inc CurrentSince Jan 1, 2021 Accepting new patients
B&L Health Inc. Dba Allhealth Diagnostic and Treatment Center Past Accepting new patients
All Care Family Medicine P.C. PastSince Nov 5, 2019 Accepting new patients

Locations

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1100 Coney Island Ave
Ste 2
Brooklyn, NY 11230
Phone (718) 434-2100

1655 E 13th St
Brooklyn, NY 11229
Phone (718) 339-3100

6860 Austin St
Ste 10
Forest Hills, NY 11375
Phone (718) 896-4100

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJEBCD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1740726181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701610",
            "telephone_number": "718-547-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701610",
            "telephone_number": "718-547-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHEYEV",
        "first_name": "BORIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341209-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.