Individual provider Active NPI

Bruce Moskowitz, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1982644910
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
185033 Issued in NY
Practice address
310 E 14TH St
Suite 401
New York, NY 10003
Phone
(212) 979-4586
Fax
(212) 979-4095
NPI assigned
Jun 7, 2006
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 185033 NY
Ophthalmology Physician 207W00000X 185033 NY Primary

Addresses

Primary practice location

310 E 14TH St
Suite 401
New York, NY 10003

Mailing address

310 E 14TH St
Suite 401
New York, NY 10003-4201
Phone (212) 979-4586

Other identifiers 1

IdentifierTypeStateIssuer
BM096F0010OtherNYMEDICARE PIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000028 NY Practitioner - Ophthalmology 9133216096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Facial Plastic, Reconstructive and Laser Surgery, PLLCGroup PAC ID 1759328529, 2 clinicians

Practice addresses (Care Compare)

310 E 14TH St
Suite 401
New York, NY 10003-4201
Phone (212) 979-4586

310 E 14TH St
Suite 401
New York, NY 10003-4284

82 N Water St
Poughkeepsie, NY 12601-1721
Phone (845) 454-8025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Facial Plastic, Reconstructive & Laser Surgery, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Bruce K. Moskowitz, MD, P.C. Ophthalmology CurrentSince Jan 23, 2012 Accepting new patients

Locations

13625 Maple Ave
Ste 202
Flushing, NY 11355
Phone (718) 358-5900

310 E 14th St
#401
New York, NY 10003
Phone (212) 979-4586

310 E 14th St
Ste 401
New York, NY 10003
Phone (212) 979-4586

82 N Water St
Poughkeepsie, NY 12601
Phone (845) 454-8025

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1982644910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034201",
            "telephone_number": "212-979-4586",
            "fax_number": "212-979-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-979-4586",
            "fax_number": "212-979-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOWITZ",
        "first_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "185033",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "185033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "BM096F0010",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.