Active NPI
Latisha Elizabeth Moreta, M.D.
- Obstetrics & Gynecology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 307744
- Practice address
- 315 W 57TH St Ste 208
New York, NY 10019-3149 - Phone
- (203) 557-9696
- NPI assigned
- Apr 6, 2016
- Last updated
- Nov 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 1942664925 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 1942664925 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 307744 | NY | Primary |
Addresses
Primary practice location
315 W 57TH St Ste 208
New York, NY 10019-3149
Mailing address
225 E 95TH St Apt 19J
New York, NY 10128-4006
Phone (516) 509-9673
Other names 1
- Dr. Latisha Elizabeth Ricketts
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | oqe9001@direct.nyp.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 737-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1942664925 | NY | MD | Obstetrics & Gynecology Physician |
| 307744 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Hudson Valley Hospital Center | Past | Accepting new patients |
Locations
1756 Route 9D
Cold Spring, NY 10516
Phone (845) 265-3642
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
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.
-
dba NewYork-Presbyterian Medical Group/Hudson Valley
- Specialist
- Yorktown Heights, NY
- NPI 1225222953
-
dba Newyork-Presbyterian Medical Group/Hudson Valley
- Multi-Specialty Clinic/Center
- Cortlandt Manor, NY
- NPI 1982109120
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1942664925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E 95TH ST APT 19J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284006",
"telephone_number": "516-509-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W 57TH ST STE 208",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193149",
"telephone_number": "203-557-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORETA",
"first_name": "LATISHA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-06",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "NY",
"license": "1942664925",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "1942664925",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "307744",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "1980 Crompond Rd",
"city": "Cortlandt Manor",
"state": "NY",
"country_code": "US",
"postal_code": "105674144",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "1980 Crompond Rd",
"city": "Cortlandt Manor",
"state": "NY",
"country_code": "US",
"postal_code": "105674144",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oqe9001@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "1980 Crompond Rd",
"city": "Cortlandt Manor",
"state": "NY",
"country_code": "US",
"postal_code": "105674144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LATISHA",
"last_name": "RICKETTS",
"middle_name": "ELIZABETH",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.