DR. RIZKALLA A. MOUCHATI (NPI# 1093748360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093748360 |
Entity Type | Individual |
Full Name | DR. RIZKALLA A. MOUCHATI |
Credential | MD |
Practice Address |
500 Congress St Suite 1h Quincy MA 02169-0908 |
Practice Telephone | 6177860066 |
Practice Fax Number | 6177867471 |
Mailing Telephone | 6177860066 |
Mailing Fax Number | 6177867471 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2016-05-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
48377 | MA | Allopathic & Osteopathic Physicians |
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
48377 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 3012336 | 05 |
Street Address |
500 CONGRESS ST SUITE 1H |
City | QUINCY |
State | MA |
Zip Code | 02169-0908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942200324 | Jeanne C Benoit | Nurse Practitioner | 500 Congress St, Quincy, MA 02169-0908 | 2005-07-28 |
1407362577 | Donna M Osis | Hearing Instrument Specialist | 500 Congress St, Quincy, MA 02169-0908 | 2017-12-27 |
1497106389 | Valeria Duque | Audiologist | 500 Congress St, Suite 2j, Quincy, MA 02169-0908 | 2016-06-22 |
1518337062 | Atrius Health, Inc. | Nutritionist | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-09-28 |
1427428978 | Atrius Health, Inc. | Nutritionist | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-09-28 |
1477937480 | Dermasap Pllc | Dermatology | 500 Congress St, B1, Quincy, MA 02169-0908 | 2015-07-20 |
1558756759 | Atrius Health, Inc. | Dermatology | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-04-03 |
1568854008 | Commonwealth Plastic Surgery LLC | Surgery | 500 Congress St, Suite B1, Quincy, MA 02169-0908 | 2015-02-20 |
1760804603 | Maria Mamakos | Nurse Practitioner | 500 Congress St, Quincy, MA 02169-0908 | 2014-01-13 |
1730527474 | Antoin Johnsen Deschrijver | Student in an Organized Health Care Education/Training Program | 500 Congress St, Suite 2h, Quincy, MA 02169 | 2013-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
Find all providers in zip 02169 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
1548508252 | Adriana Mendez Sanchez | Psychiatry & Neurology | 771 Albany Street Boston Medical Center Child Neurology, Dowling 3 South Rm 3314, Boston, MA 02118 | 2013-01-30 |
1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
1124082714 | Rebeca N Alvareza-altalef | Psychiatry & Neurology | 750 Washington St # 330, Boston, MA 02111-1526 | 2006-04-12 |
1982670535 | Elizabeth Anne Thiele | Psychiatry & Neurology | 55 Fruit St Yaw 6b, Pediatric Neurology, Boston, MA 02114 | 2006-02-24 |
1205480043 | Lauren Sham | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-07-30 |
1457848293 | Paul N. Chervin, M.d. LLC | Psychiatry & Neurology | 604 Main Street, Woburn, MA 01801 | 2018-04-17 |
1386164101 | Ashley Weng | Psychiatry & Neurology | 800 Washington St, Boston, MA 02111 | 2017-06-22 |
1922554872 | Kristen Lindgren Md Phd LLC | Psychiatry & Neurology | 2014 Washington St, Newton-wellesley Hospital, Pediatric Ambulatory Clinic, Newton, MA 02462-1607 | 2016-08-31 |
1891148854 | Jose Ildefonso Rodriguez Moreno | Psychiatry & Neurology | 800 Washington St, Boston, MA 02111-1552 | 2016-07-14 |
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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.