Individual provider Active NPI

Troy David Moser, PA-C

  • Physician Assistant
  • Lowville, NY
National Provider Identifier
1942667258
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019340-1 Issued in NY
Practice address
5402 Dayan St Ste 100
Lowville, NY 13367-1100
Phone
(315) 376-4600
Fax
(315) 376-5587
NPI assigned
Jan 19, 2016
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019340-1 NY Primary

Addresses

Primary practice location

5402 Dayan St Ste 100
Lowville, NY 13367-1100

Mailing address

5402 Dayan St Ste 100
Lowville, NY 13367-1100
Phone (315) 376-4600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307001031 NY Practitioner - Physician Assistant 1052617750 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019340-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Family Health Center, Inc. CurrentSince Jan 27, 2025 Accepting new patients

Locations

5402 Dayan St
Ste 100
Lowville, NY 13367
Phone (315) 376-4600

238 Arsenal St
Watertown, NY 13601
Phone (315) 782-9450

Interoperability endpoints

  • Direct secure messaging: troy.moser.1@21901.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1942667258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 DAYAN ST STE 100",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671100",
            "telephone_number": "315-376-4600",
            "fax_number": "315-376-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 DAYAN ST STE 100",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671100",
            "telephone_number": "315-376-4600",
            "fax_number": "315-376-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "TROY",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019340-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.