JOEL MOSES MD PLLC (NPI# 1013082130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013082130 |
| Entity Type | Organization |
| Organization Name | JOEL MOSES MD PLLC |
| Other Organization Name | INFECTIOUS DISEASES OF EASTERN ALBANY |
| Practice Address |
350 Northern Blvd Suite 108 Albany NY 12204-1000 |
| Practice Telephone | 5184629675 |
| Practice Fax Number | 5187293444 |
| Mailing Telephone | 5184629675 |
| Mailing Fax Number | 5187293444 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | DR. JOEL E MOSES (OWNER) |
| Authorized Official Telephone | 5184629675 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 185876 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | WORKERS COMP | 185876-OW | 01 |
| NY | MVP | 362538 | 01 |
| NY | 01490606 | 05 | |
| NY | CDPHP | 10071123 | 01 |
| NY | RR MEDICARE | P00062301 | 01 |
| NY | BLUE SHIELD | 000403783002 | 01 |
| NY | BLUE CROSS | 2X4191 | 01 |
| NY | MEDICAID ID | DD4915 | 01 |
| Other Name | Type Code |
|---|---|
| Infectious Diseases of Eastern Albany | Other Name - Individual/Organization |
| Street Address |
350 NORTHERN BLVD SUITE 108 |
| City | ALBANY |
| State | NY |
| Zip Code | 12204-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811973159 | Town Total Albany, LLC | Pharmacist | 350 Northern Blvd, Suite 328, Albany, NY 12204-1000 | 2005-12-19 |
| 1952704199 | Northeast Vitreo-retinal Associates, P.C. | Clinic/Center | 350 Northern Blvd, Suite 301, Albany, NY 12204-1000 | 2014-10-02 |
| 1811317688 | Charles Braverman | Acupuncturist | 350 Northern Blvd, Suite 305, Albany, NY 12204-1000 | 2014-04-21 |
| 1760778674 | Kirk Wade Myers | Pharmacist | 350 Northern Blvd, Loudon Plaza, Albany, NY 12204-1000 | 2011-06-20 |
| 1295029494 | Bodywork for Wellness Manual Physical Therapy&therapeutic Massage Pllc | Physical Therapist | 350 Northern Blvd, Suite 305, Albany, NY 12204-1000 | 2011-06-06 |
| 1508049602 | Jon Samuel Canin | Marriage & Family Therapist | 350 Northern Blvd, Suite 205, Albany, NY 12204-1000 | 2007-12-11 |
| 1972782324 | Advanced Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 350 Northern Blvd, Suite 101, Albany, NY 12204-1000 | 2007-11-01 |
| 1578686283 | Michael Vincent Bolton | Orthotist | 350 Northern Blvd, Suite 101, Albany, NY 12204-1000 | 2007-04-09 |
| 1881745362 | Eric Luper | Clinic/Center | 350 Northern Blvd, Suite 103, Albany, NY 12204-1000 | 2007-01-13 |
| 1760544407 | Gary William Hobbs | Psychologist | 350 Northern Blvd, Ste. 305, Albany, NY 12204-1000 | 2006-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015352 | Chanel Bovian | Licensed Practical Nurse | 587 Broadway Apt.a2, Menands, NY 12204 | 2019-07-20 |
| 1659853513 | David Jonathan Brown | Driver | 456 North Pearl St., Albany, NY 12204 | 2018-09-06 |
| 1255686481 | Adam Michael Burman | Pharmacist | 350 Northern Boulevard, Albany, NY 12204 | 2012-07-13 |
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1306117270 | Jacqueline J Swenson | Physical Therapist | Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 | 2012-01-24 |
| 1730466681 | Kathleen C Dalcol | Registered Nurse | 570 North Pearl Street, North Albany Academy, Albany, NY 12204 | 2011-11-07 |
| 1649592049 | Shirley L Savage | Licensed Practical Nurse | 150 Broadway Ave., Suite 310, Menands, NY 12204 | 2010-02-26 |
| 1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
| 1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
| 1578788204 | Antoinette June Holman | Licensed Practical Nurse | Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 | 2007-04-16 |
| Find all providers in zip 12204 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114428141 | Johnae Patrice Galloway | Specialist | 600 New Scotland Ave, Albany, NY 12208-1928 | 2018-02-25 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1457703217 | Rebecca Burke | Specialist | 113 Krumkill Rd, Albany, NY 12208-1249 | 2016-07-05 |
| 1639535933 | Emily Soule | Specialist | 687 Myrtle Ave, Apt 1, Albany, NY 12208-3711 | 2016-01-04 |
| 1891163903 | Anca Rabinowitz | Specialist | 22a Old Hickory Dr, Apt.2a, Albany, NY 12204-1137 | 2015-09-04 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1700226792 | Jeffrey Sansobrino | Specialist | 1 Rapp Rd # 1, Albany, NY 12203-4491 | 2013-07-05 |
| 1306186739 | Kate Ireland Panza | Specialist | 29 Krug Ct, Albany, NY 12211-1914 | 2013-02-21 |
| 1992045470 | Maryjo Aidala | Specialist | 1658 Central Ave, Albany, NY 12205-4029 | 2013-02-21 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.