Active NPI
Anthony Joseph Moschetto, DO
- Cardiovascular Disease Physician
- Great Neck, NY
National Provider Identifier
1962578922
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Feb 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 175571
- Practice address
- 38 Northern Blvd
Great Neck, NY 11021 - Phone
- (516) 773-3500
- Fax
- (516) 487-8706
- NPI assigned
- Nov 28, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 175571 | NY | Primary |
Addresses
Primary practice location
38 Northern Blvd
Great Neck, NY 11021
Mailing address
38 Northern Blvd
Great Neck, NY 11021
Phone (516) 773-3500
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1962578922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-773-3500",
"fax_number": "516-487-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-773-3500",
"fax_number": "516-487-8706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSCHETTO",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "175571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.