Individual provider Active NPI

Moses Augustus Williams, MD

  • Diagnostic Radiology Physician
  • West Islip, NY
National Provider Identifier
1881622025
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
162468 Issued in NY
Practice address
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 162468 NY Primary

Addresses

Primary practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Mailing address

52 Main St
Bedford Hills, NY 10507-1814
Phone (914) 666-2220

Other names 1

  • Mark Moses Williams Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041214000997 NY Practitioner - Diagnostic Radiology 7719944412 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
St Francis Cardiac Prevention Services PCGroup PAC ID 4183515836, 60 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (718) 223-4685

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (718) 223-4685

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (718) 223-4685

50 Route 25a
Smithtown, NY 11787-1348
Phone (718) 223-4685

500 Commack Rd
Commack, NY 11725-5020
Phone (718) 223-4685

500 Commack Rd
Unit 150C
Commack, NY 11725-5009
Phone (934) 223-7171

735 Montauk Hwy
West Islip, NY 11795-4901
Phone (718) 223-4685

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162468NYMDDiagnostic Radiology Physician
201621NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Cardiac Prevention Services PC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
CHS Physician Partners, PC CurrentSince Jan 1, 2021 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2021 Accepting new patients
Montefiore Mount Vernon Hospital CurrentSince Aug 14, 2020 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Montefiore New Rochelle Hospital CurrentSince Aug 14, 2020 Accepting new patients
St. Catherine of Siena Medical Center Past Accepting new patients
St Catherine of Siena Medical Center Past Accepting new patients
Radiology Consulting of Long Island PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 26)

52 Main St
Bedford Hills, NY 10507

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

500 Commack Rd
Unit 150C
Commack, NY 11725
Phone (934) 223-7171

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

327 Beach 19th St
#H
Far Rockaway, NY 11691
Phone (718) 869-7000

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

275 North St
Harrison, NY 10528
Phone (914) 925-5211

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

1000 N Village Ave
#13202
Rockville Ctr, NY 11570

992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

2500 Nesconset Hwy
Bldg 7D
Stony Brook, NY 11790
Phone (631) 751-3322

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 11

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 7

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1881622025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MAIN ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071814",
            "telephone_number": "914-666-2220",
            "fax_number": "914-666-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MOSES",
        "middle_name": "AUGUSTUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "162468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "WILLIAMS",
            "middle_name": "MOSES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.