DR. ETHAN MOSKOVIC (NPI# 1720570377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720570377 |
| Entity Type | Individual |
| Full Name | DR. ETHAN MOSKOVIC |
| Credential | DDS |
| Practice Address |
324 Elmira Rd Ste 200 Ithaca NY 14850-5106 |
| Mailing Address |
73 Muriel Ave Lawrence NY 11559-1810 |
| Practice Telephone | 6072733000 |
| Mailing Telephone | 5166606367 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 060576 | NY | Dental Providers |
| Street Address |
324 ELMIRA RD STE 200 |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700355849 | Kerry Kelly D.d.s., P.C. | Dentist | 1025 N. Tioga St., Ithaca, NY 14850 | 2018-11-19 |
| 1609139302 | Brian Joseph Putman | Dentist | 610 N. Pine River St., Ithaca, MI 48847 | 2012-06-19 |
| 1518228675 | Amit Patel | Dentist | 22 Arrowood Dr Ste C, Ithaca, NY 14850-1870 | 2012-06-06 |
| 1942534524 | Harry James Peter Patrick | Dentist | 1001 Hanshaw Rd., Ithaca, NY 14850 | 2009-09-29 |
| 1730347287 | Betsy L Peterson | Dentist | 523 W Clinton St, Ithaca, NY 14850-5233 | 2008-05-30 |
| 1104032713 | Mark W Welsh | Dentist | 324 Dryden Rd, Ithaca, NY 14850-4726 | 2007-05-14 |
| 1851514475 | Richard Allen Gardner | Dentist | 450 North Aurora Street, Ithaca, NY 14850-4235 | 2007-04-11 |
| 1982771945 | Albert Matthew Thompson | Dentist | 101 Snyder Hill Road, Ithaca, NY 14850 | 2006-11-28 |
| 1457425456 | Ira K Kamp | Dentist | 1025 N Tioga St, Ithaca, NY 14850 | 2006-11-20 |
| 1902994684 | James R Mccutcheon | Dentist | 22 Arrowhead Drive, Suite C, Ithaca, NY 14850 | 2006-10-10 |
| Find all providers in ITHACA | ||||
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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.