| Moses Medical | |
|
871b Westchester Ave Bronx NY 10459-4002 | |
| (646) 741-2111 | |
| Not Available |
| Full Name | Moses Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 871b Westchester Ave, Bronx, New York |
| Authorized Official Name and Position | Danielle Ben-ishay (MANAGER/MEMBER) |
| Authorized Official Contact | 6467412111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moses Medical 871b Westchester Ave Bronx NY 10459-4002 | Moses Medical 871b Westchester Ave Bronx NY 10459-4002 Ph: (646) 741-2111 |
| NPI Number | 1376362178 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 07/22/2026 |
| Certification Date | 07/22/2026 |
| Medicare PECOS PAC ID | 2062940059 |
|---|---|
| Medicare Enrollment ID | O20250103000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376362178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261Q00000X | Clinic/center | () | Secondary |
| Provider Name | Joseph R Ida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366418287 PECOS PAC ID: 3375533631 Enrollment ID: I20040517001574 |
| Provider Name | Sharon Ramjattan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063507804 PECOS PAC ID: 2769449123 Enrollment ID: I20041216000984 |
| Provider Name | Kamal Batra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245279462 PECOS PAC ID: 3870772726 Enrollment ID: I20110124001028 |
| Provider Name | Hossain Rouf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154769628 PECOS PAC ID: 6507151214 Enrollment ID: I20160819001161 |
| Provider Name | Mohammad Zakir Hossen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730749813 PECOS PAC ID: 2264811314 Enrollment ID: I20220620000988 |
| Provider Name | Guylene Sebili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912029745 PECOS PAC ID: 2567684699 Enrollment ID: I20230224000069 |
| Provider Name | Raghavendra Rao S Sathyanarayana Rao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053753608 PECOS PAC ID: 7315335312 Enrollment ID: I20240326003949 |
| Provider Name | Jerrin Bawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811574239 PECOS PAC ID: 1052804564 Enrollment ID: I20251203002406 |
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