Moitri Nath Datta, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

138997 Issued in NY

Practice address

510 N Broadway
White Plains, NY 10603-3217

Phone

(914) 723-3247

Fax

(914) 723-4211

NPI assigned

Feb 3, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abbott HouseGroup PAC ID 4880900794, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abbott House

  dba Abbott House Clinical and Counseling Services

  • Adolescent and Children Mental Health Clinic/Center
  • Irvington, NY
  • NPI 1902298359
  Medicare reassignment Care Compare group NPD
• Medical Psychiatric Prcatice, PC

  • Child & Adolescent Psychiatry Physician
  • White Plains, NY
  • NPI 1023156601
  NPD (past) Authorized official
• Cardinal McCloskey School and Home for Children

  • Case Management Agency
  • Bronx, NY
  • NPI 1275044869
  NPD (past)

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861530446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OVERHILL RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835307",
            "telephone_number": "914-723-3247",
            "fax_number": "914-723-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033217",
            "telephone_number": "914-723-3247",
            "fax_number": "914-723-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA",
        "first_name": "MOITRI",
        "middle_name": "NATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "138997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00423294",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "138997",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darin Transformations LLC
• Terri Aduakoh Darkwah, RN
• Mohamed Darwish, MD
• Kaushik Das, M.D.
• Manile Ayesha Dastagir, D.O.
• Subodh K Datta, M.D.
• Dedan Davenport
• Alan S David, D.O.
• Ricquee Davidson, RN
• Davis Avenue Medical Services, PC

• Child & Adolescent Psychiatry Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.