DR. EDWARD MOSS (NPI# 1568426914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568426914 |
| Entity Type | Individual |
| Full Name | DR. EDWARD MOSS |
| Credential | M.D. |
| Practice Address |
9785 Queens Blvd Rego Park NY 11374 |
| Mailing Address |
9785 Queens Blvd Rego Park NY 11374-3319 |
| Practice Telephone | 7182619100 |
| Practice Fax Number | 7188972915 |
| Mailing Telephone | 7182619100 |
| Mailing Fax Number | 7188972915 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 131302 | NY | Other Service Providers |
| Y | 208800000X | Urology | 131302 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642588 | Edward Richard Moss | Technician | 7 Calle Careyes, San Clemente, CA 92673-6997 | 2019-07-30 |
| 1821197633 | Edward Maurice Moss | Clinical Neuropsychologist | 950 E Haverford Rd, Suite 306, Bryn Mawr, PA 19010-3850 | 2006-09-21 |
| 1063517209 | Edward D. Moss | Anesthesiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-09-13 |
| 1477583284 | Edward G. Moss | Radiology | 1 Cooper Plz, Cooper Univeristy Radiology, Camden, NJ 08103-1461 | 2006-07-04 |
| Street Address |
9785 QUEENS BLVD |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281450 | Paul Bruce Bader | Internal Medicine | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2005-08-03 |
| 1497264360 | Olga Abraham | Physician Assistant | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2017-09-23 |
| 1083130967 | New York University | Internal Medicine | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2017-08-22 |
| 1376897652 | Roman Aykelinchayev | Physician Assistant | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2012-11-07 |
| 1902047947 | Elena Katz | Internal Medicine | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2009-03-22 |
| 1225278153 | Yelena Lakhchakova | Physician Assistant | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2009-03-05 |
| 1629238076 | Marck Santiago | Specialist | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2008-06-10 |
| 1659531010 | Natella Nektalova | Specialist | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2008-06-10 |
| 1205002169 | Viktoriya Katayeva | Physician Assistant | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2008-05-01 |
| 1164690913 | Inessa Natanov | Physician Assistant | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2008-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396067609 | Michael Yuan Shy | Urology | 92-29 Queens Blvd., Suite 2b, Rego Park, NY 11374-1072 | 2010-02-28 |
| 1447421821 | Alek Mishail | Urology | 9971 65th Rd Fl 1, Rego Park, NY 11374-3654 | 2008-03-13 |
| 1891181582 | Queens Blvd Urology Care P.C. | Urology | 98120 Queens Blvd, Rego Park, NY 11374-4357 | 2015-04-09 |
| 1659782589 | Innovative Urology Practice of New York, Pllc | Urology | 92-29 Queens Blvd., Suite 2b, Rego Park, NY 11374-1072 | 2014-05-14 |
| 1679839450 | Andrew I. Fishman | Urology | 9229 Queens Blvd, Suite 2b, Rego Park, NY 11374-1072 | 2012-04-06 |
| 1497053508 | Male and Female Urology Pllc | Urology | 9971 65th Rd Fl 1, Rego Park, NY 11374-3654 | 2011-03-14 |
| 1861676330 | David Shusterman, M.d., P.C. | Urology | 9785 Queens Blvd, Rego Park, NY 11374-3319 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
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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.