DR. KAMBIZ THOMAS MOAZED (NPI# 1023056512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023056512 |
| Entity Type | Individual |
| Full Name | DR. KAMBIZ THOMAS MOAZED |
| Credential | MD |
| Practice Address |
4337 Broadway New York NY 10033-2411 |
| Mailing Address |
55 Water St 2nd Floor Cred Dept New York NY 10041-0004 |
| Practice Telephone | 2125686300 |
| Practice Fax Number | 5165425556 |
| Mailing Telephone | 6466802888 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2019-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 149314 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00853269 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 East 22nd Street, New York, NY 100109995 | 2124607800 | 2124607877 |
| 215 East 95th Street, New York, NY 101284007 | 2129968000 | 2124233127 |
| 215 West 125th Street, 2nd Floor, New York, NY 100274426 | 2124912400 | 2124912401 |
| Street Address |
4337 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10033-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770520280 | Alapat Sebastian | Internal Medicine | 4337 Broadway, New York, NY 10033-2411 | 2006-06-01 |
| 1750778973 | Xelenia Depena | Family Medicine | 4337 Broadway, New York, NY 10033-2411 | 2015-04-26 |
| 1952668402 | Reyna Elizabeth Payero | Obstetrics & Gynecology | 4337 Broadway, New York, NY 10033-2411 | 2012-04-20 |
| 1306164967 | Michael Jerome | Internal Medicine | 4337 Broadway, New York, NY 10033 | 2010-05-06 |
| 1639497316 | Jake Ni | Orthopaedic Surgery | 4337 Broadway, New York, NY 10033-2411 | 2010-05-05 |
| 1063655918 | Rosemary Diane Cabanillas | Social Worker | 4337 Broadway, New York, NY 10033-2411 | 2009-04-08 |
| 1053564260 | Ana Guerra | Family Medicine | 4337 Broadway, New York, NY 10033-2411 | 2008-10-31 |
| 1114187689 | Nicole Anziani | Dietitian, Registered | 4337 Broadway, New York, NY 10033-2411 | 2008-06-09 |
| 1609951086 | Barbara Heath | Physician Assistant | 4337 Broadway, New York, NY 10033 | 2006-10-26 |
| 1215032537 | Joseph Zeitlin | Internal Medicine | 4337 Broadway, New York, NY 10033-2411 | 2006-09-13 |
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|---|---|---|---|---|
| 1265046940 | William F Ryan Community Health Center Inc | Clinic/Center | 154 Wadsworth Avenue, New York, NY 10033 | 2020-09-01 |
| 1063048627 | Lori Cinar | Speech-Language Pathologist | 544 Fort Washington Avenue, New York, NY 10033 | 2020-03-16 |
| 1245885953 | Beth Feldman | Occupational Therapist | 93 Bennett Ave, New York, NY 10033 | 2019-08-08 |
| 1053971903 | Daniel Harmeyer | Registered Nurse | 560 W 168th St, New York, Ny 10032, New York, NY 10033 | 2019-06-13 |
| 1770141038 | Rio Espiritu | Physical Therapist | 601 West 182nd.street, New York, NY 10033 | 2019-06-03 |
| 1154986255 | Gira Ileana Graciano Mireles | Student in an Organized Health Care Education/Training Program | 355 Bart Avenue, Department of Medicine Villa Bldg 1st Floor, New York, NY 10033 | 2019-05-03 |
| 1386140812 | Han Acupuncture | Acupuncturist | 701 W 177th Street, Suite 001, New York, NY 10033 | 2018-04-03 |
| 1023524956 | Kyong Su Han | Acupuncturist | 701 West 177th St, #001, New York, NY 10033 | 2017-12-14 |
| 1609380336 | Divine Luxury Transportation Inc | Non-emergency Medical Transport (VAN) | 360 Audubon Avenue, New York, NY 10033 | 2017-11-16 |
| 1174042683 | Kseniya Yershova | Psychologist | 66 Pinehurst Ave, 1a, New York, NY 10033 | 2017-09-15 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| 1851876213 | James Chelnis Md PC | Ophthalmology | 110 E 40th St Rm 404, New York, NY 10016-1817 | 2018-10-01 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1376054007 | Hudson Yards Surgery Center, LLC | Ophthalmology | 450 West 31st Street, 2s, New York, NY 10001 | 2017-10-20 |
| 1730617614 | Successful Vision Corp | Ophthalmology | 252 W 79th St, New York, NY 10024-6102 | 2017-05-23 |
| 1356877781 | Kunyong Xu | Ophthalmology | 1305 York Ave 11th Floor, Weill Cornell Eye Associates, New York, NY 10021 | 2017-05-04 |
| 1356717441 | Jose Quintero | Ophthalmology | 85 E 10th St Apt L, New York, NY 10003-5457 | 2015-08-12 |
| 1669850731 | Jane Song | Ophthalmology | 310 E 14th St Ste 603s, New York, NY 10003-4284 | 2015-05-11 |
| 1023404175 | Aliaa Abdelhakim Hamed | Ophthalmology | 635 W 165th St # 96, New York, NY 10032 | 2015-04-15 |
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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.