Individual provider Active NPI

Jessica Moskovitz, MD

  • Otolaryngology Physician
  • Gretna, LA
National Provider Identifier
1821382433
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
321666 Issued in LA
Practice address
120 Ochsner Blvd Ste 200
Gretna, LA 70056-5248
Phone
(504) 595-8270
Fax
(504) 394-7344
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD457268 PA
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 321666 LA Primary

Addresses

Primary practice location

120 Ochsner Blvd Ste 200
Gretna, LA 70056-5248

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

200 Lothrop street, suite 500
Eye and Ear institute
pittsburgh, PA 15213
Phone (412) 383-8756

Other names 1

  • Jessica Somerville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20200309001585 LA Practitioner - Otolaryngology 2668762832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Tennessee, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

120 Ochsner Blvd
Gretna, LA 70056-5255
Phone (504) 366-5032

Hospital & facility affiliations

  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
321666LAMDOtolaryngology Physician
MD457268PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 24, 2020 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 24, 2020 Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

120 Ochsner Blvd
Terrytown, LA 70056
Phone (504) 391-8857

200 Lothrop St
Ste 300
Pittsburgh, PA 15213
Phone (412) 647-2100

200 Lothrop St
Ste 500
Pittsburgh, PA 15213
Phone (412) 647-2115

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: jmoskovitiz145257@direct-guthrie.org
  • Direct secure messaging: jmoskovitz892775@direct.ochsner.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1821382433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OCHSNER BLVD STE 200",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565248",
            "telephone_number": "504-595-8270",
            "fax_number": "504-394-7344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop street, suite 500",
            "address_2": "Eye and Ear institute",
            "address_purpose": "LOCATION",
            "city": "pittsburgh",
            "state": "PA",
            "postal_code": "15213",
            "country_code": "US",
            "telephone_number": "412-383-8756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSKOVITZ",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD457268",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "321666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SOMERVILLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.