Moises Siperstein MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME76469 Issued in FL

Legal business name

MOISES SIPERSTEIN MD PA

Practice address

10377 S US Highway 1
Suite 102
Port St Lucie, FL 34952-5630

Phone

(772) 337-7811

Fax

(772) 337-7833

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Moises Siperstein-Blumovicz, M.D.NPI 1568436103

Title

President

Phone

(772) 337-7811

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCAHCA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moises Siperstein-Blumovicz, M.D.

  • Internal Medicine Physician
  • Port Saint Lucie, FL
  • NPI 1568436103
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1841484029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10377 S US HIGHWAY 1",
            "address_2": "SUITE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525630",
            "telephone_number": "772-337-7811",
            "fax_number": "772-337-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10377 S US HIGHWAY 1",
            "address_2": "SUITE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525630",
            "telephone_number": "772-337-7811",
            "fax_number": "772-337-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOISES SIPERSTEIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "SIPERSTEIN-BLUMOVICZ",
        "authorized_official_first_name": "MOISES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-337-7811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME76469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Mobley
• Nacole A Moffat McGarry, LCSW
• Michael James Moffatt, DO
• Yahya Mohamad, DO
• Aaron Mohammed, MSW
• Raymond Molano, MD
• Vitaliy Molchanov, MD
• Carlos Molina
• Connor Molloy
• Monarch Behavior Analysis, LLC

• Internal Medicine Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.