Individual provider Active NPI

Marlene R Moster, M.D.

  • Ophthalmology Physician
  • Sunrise, FL
National Provider Identifier
1962475806
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD024149E Issued in PA
Practice address
7800 W Oakland Park Blvd Unit 205
Sunrise, FL 33351-6741
Phone
(954) 859-2020
Fax
(954) 736-4344
NPI assigned
Feb 10, 2006
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD024149E PA Primary
Ophthalmology Physician 207W00000X C1-0003844 DE
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD024149E PA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X C1-0003844 DE

Addresses

Primary practice location

7800 W Oakland Park Blvd Unit 205
Sunrise, FL 33351-6741

Mailing address

7800 W Oakland Drive
Unit 205
Sunrise, FL 33351-6741
Phone (954) 859-2020

Other identifiers 5

IdentifierTypeStateIssuer
000969219-0003MedicaidPA
000969219-0001MedicaidPA
0797405MedicaidNJ
000969219-0006MedicaidPA
000969219-0005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100814000003 PA Practitioner - Ophthalmology 1658376140 Reassigns benefits to 2 organizations
I20231030001621 FL Practitioner - Ophthalmology 1658376140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Henry Alexander Spratt MD PAGroup PAC ID 2264713973, 5 clinicians

Practice addresses (Care Compare)

18999 Biscayne Blvd
Suite 101
Aventura, FL 33180-2814
Phone (954) 859-2020

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as group
Quality
97.02
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.11 of 100Reported as group
Quality
78.1
Promoting interoperability
89
Improvement activities
40
Cost
71.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0003844DEMDOphthalmology Physician
MD024149EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Partners PC Ophthalmology CurrentSince Jan 1, 2021 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Sergio Morello Jr MD PA Ophthalmology PastSince Nov 26, 2023 Accepting new patients
Inna Ozerov MD PA PastSince Mar 4, 2014 Accepting new patients

Locations

1500 Tilton Rd
Northfield, NJ 08225
Phone (484) 434-2700

100 Presidential Blvd
Ste 200
Bala Cynwyd, PA 19004
Phone (484) 434-2700

8025 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 423-5154

840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150

840 Walnut St
Ste 1210
Philadelphia, PA 19107
Phone (215) 928-3240

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Ste 920
Philadelphia, PA 19107
Phone (215) 928-3180

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1962475806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND DRIVE",
            "address_2": "UNIT 205",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "954-859-2020",
            "fax_number": "954-736-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND PARK BLVD UNIT 205",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "954-859-2020",
            "fax_number": "954-736-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTER",
        "first_name": "MARLENE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD024149E",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C1-0003844",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PA",
            "license": "MD024149E",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "DE",
            "license": "C1-0003844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969219-0003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969219-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0797405",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969219-0006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000969219-0005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.