Individual provider Active NPI

Gary Lee Moscowitz, D.D.S.

  • General Practice Dentistry
  • East Greenbush, NY
National Provider Identifier
1821175381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
032706 Issued in NY
Practice address
2 Pittsfield Ave
East Greenbush, NY 12061-1508
Phone
(518) 477-8026
Fax
(518) 477-7996
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

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 032706 NY Primary

Addresses

Primary practice location

2 Pittsfield Ave
East Greenbush, NY 12061-1508

Mailing address

2 Pittsfield Ave
East Greenbush, NY 12061-1508
Phone (518) 477-8026

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821175381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PITTSFIELD AVE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611508",
            "telephone_number": "518-477-8026",
            "fax_number": "518-477-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PITTSFIELD AVE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611508",
            "telephone_number": "518-477-8026",
            "fax_number": "518-477-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCOWITZ",
        "first_name": "GARY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.