Shengjie Mo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

333972 Issued in NY

Practice address

13663 41St Ave
Flushing, NY 11355-2433

Phone

(718) 358-3858

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

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

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.

• Days Nurse Practitioner in Family Health P.C.

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1114668969
  Medicare reassignment Authorized official
• Hsi-Lin Spencer Feng DDS,PC

  • General Practice Dentistry
  • Flushing, NY
  • NPI 1851549521
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770601015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294812",
            "telephone_number": "917-881-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13663 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552433",
            "telephone_number": "718-358-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MO",
        "first_name": "SHENGJIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02265465",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MMJ Ny Consulting LLC
• MMM Health Corp
• Mo Lan Medicine P.C
• Jessica Mo
• Lihua Mo, M.D.
• Shirley Mo, MD
• Xiaona Mo
• Debbi Moalemi Delafraz, DPM
• Mobile Anesthesia Assoc PC
• Mobile Diagnostic Testing Services Inc

• Family Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.