Active NPI
Stephen Moshman, MD
- Internal Medicine Physician
- Dobbs Ferry, NY
National Provider Identifier
1942220504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 108107
- Practice address
- 59 Beechdale Rd
Dobbs Ferry, NY 10522-3001 - Phone
- (914) 693-5020
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 108107 | NY | Primary |
Addresses
Primary practice location
59 Beechdale Rd
Dobbs Ferry, NY 10522-3001
Mailing address
59 Beechdale Rd
Dobbs Ferry, NY 10522-3001
Phone (914) 693-5020
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00882733 | Medicaid | NY | |
| 1282585 | Other | NY | AETNA HMO |
| 2589210 | Other | NY | GHI PPO |
| 388439 | Other | MVP | |
| 5C5708 | Other | NY | HEALTHNET |
| MS8107 | Other | ATLANTIS | |
| 000000103381 | Other | NY | GHI HMO |
| 4457921 | Other | NY | AETNA PPO |
| 5672423 | Other | FIRST HEALTH | |
| 765101 | Other | NY | EMPIRE BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1942220504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 BEECHDALE RD",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105223001",
"telephone_number": "914-693-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 BEECHDALE RD",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105223001",
"telephone_number": "914-693-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHMAN",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "108107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00882733",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1282585",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "2589210",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "388439",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "5C5708",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS",
"identifier": "MS8107",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000103381",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4457921",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5672423",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "765101",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dobbs Ferry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.