Active NPI
Moosa Nejat, M.D.
- Specialist
- Great Neck, NY
National Provider Identifier
1972519965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 108760
- Practice address
- 833 Northern Blvd
Suite 120
Great Neck, NY 11021-5315 - Phone
- (516) 829-0066
- Fax
- (516) 829-4544
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 108760 | NY | Primary |
Addresses
Primary practice location
833 Northern Blvd
Suite 120
Great Neck, NY 11021-5315
Mailing address
25 Harbour Rd
Kings Point, NY 11024-1203
Phone (516) 829-6168
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050322000174 | NY | Practitioner - Internal Medicine | 7416902531 | Practice locations: Great Neck, NY; Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108760 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barkan Medical Services, PC | Past | Accepting new patients | |
| Luzato Medical Group P.C. | Past | Accepting new patients | |
| Luzato Medical Group, P.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1750529277
-
- Gastroenterology Physician
- College Point, NY
- NPI 1164576385
-
- Urology Physician
- New York, NY
- NPI 1649429382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972519965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HARBOUR RD",
"city": "KINGS POINT",
"state": "NY",
"postal_code": "110241203",
"telephone_number": "516-829-6168",
"fax_number": "516-829-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 NORTHERN BLVD",
"address_2": "SUITE 120",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215315",
"telephone_number": "516-829-0066",
"fax_number": "516-829-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEJAT",
"first_name": "MOOSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "108760",
"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 Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.