Individual provider Active NPI

Stanley M Moshman, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1780893057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33803 Issued in NY
Practice address
89 Remsen St
Brooklyn, NY 11201-3401
Phone
(718) 855-7545
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33803 NY Primary

Addresses

Primary practice location

89 Remsen St
Brooklyn, NY 11201-3401

Mailing address

136 Kane St
Brooklyn, NY 11231-3037
Phone (718) 855-7545

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615001441 NY Order and Referring Only - DentistPractitioner - Dentist 6103146667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33803NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Howard B. Moshman, D.D.S., P.C. Past Accepting new patients
Brooklyn Comfortable Dental Care PastSince Mar 21, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780893057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 KANE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313037",
            "telephone_number": "718-855-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 REMSEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013401",
            "telephone_number": "718-855-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHMAN",
        "first_name": "STANLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "33803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.