Active NPI
Jillian Ashley Moskal
- Social Worker
- Massapequa, NY
National Provider Identifier
1811625817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 75 Grand Ave
Massapequa, NY 11758-4905 - Phone
- (516) 799-3203
- NPI assigned
- Aug 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
75 Grand Ave
Massapequa, NY 11758-4905
Mailing address
9980 Barston CT
Johns Creek, GA 30022-7546
Phone (404) 805-9698
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1811625817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9980 BARSTON CT",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300227546",
"telephone_number": "404-805-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 GRAND AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117584905",
"telephone_number": "516-799-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKAL",
"first_name": "JILLIAN",
"middle_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.