Organization Active NPI

Henry Moskowitz MD PC

  • Specialist
  • Corona, NY
National Provider Identifier
1912969171
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
110856 Issued in NY
Legal business name
HENRY MOSKOWITZ MD PC
Practice address
5930 108TH St
Corona, NY 11368-4501
Phone
(718) 271-6500
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Henry E Moskowitz, MDNPI 1154383792
Title
Sole Propieter
Phone
(718) 271-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 110856 NY Primary

Addresses

Primary practice location

5930 108TH St
Corona, NY 11368-4501

Mailing address

5930 108TH St
Corona, NY 11368-4501
Phone (718) 271-6500

Other identifiers 1

IdentifierTypeStateIssuer
00198325MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080827000251 NY Part B Supplier - Clinic/Group Practice 9537235536 Receives reassigned benefits from 1 practitioner
Practice locations: Woodside, NY; Hollis, NY; Flushing, NY; Fresh Meadows, NY; Forest Hills, NY; Elmhurst, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

9438 60th Ave
Ste A3
Elmhurst, NY 11373
Phone (718) 544-2100

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1912969171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684501",
            "telephone_number": "718-271-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684501",
            "telephone_number": "718-271-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY MOSKOWITZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE PROPIETER",
        "authorized_official_telephone_number": "718-271-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "110856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00198325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.