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MARY ELLEN MOYNAHAN MD
NPI 1568433522
Internal Medicine - Medical Oncology in New York, NY

Active since January 30, 2006PECOS Enrolled
205 E 64TH ST, NEW YORK, NY 10021(212) 639-2000 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Ellen Moynahan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLEN MOYNAHAN MD (NPI 1568433522) is an individual medical oncology provider in New York, New York, licensed in New York (178161) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568433522
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameMARY ELLEN MOYNAHANCredential: MD
Location Address205 E 64TH STNew York, NY 10021-6635
Mailing Address633 3rd Ave, Box 3New York, NY 10017-6706
Phone(212) 639-2000
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1568433522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NY · 178161
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
205 E 64TH ST, New York, NY 10021
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Other Identifiers 1

Medicare UPINF56394

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ellen Moynahan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DRS. TRUFFELMAN, INGBER & INGBER
Dentist (Prosthodontics)
205 E 64TH ST, SUITE 501
NEW YORK, NY 10021
New York County (212) 935-1220
SHANU MODI MD
Internal Medicine (Medical Oncology)
205 E 64TH ST
NEW YORK, NY 10021
New York County (212) 639-2000
JOE BASTADJIAN DDS
Dentist (Prosthodontics)
205 E 64TH ST, SUITE # 403
NEW YORK, NY 10021
New York County (212) 832-6440
MONICA N FORNIER MD
Internal Medicine (Medical Oncology)
205 E 64TH ST
NEW YORK, NY 10021
New York County (212) 639-2000
MAURA N DICKLER MD
Internal Medicine (Medical Oncology)
205 E 64TH ST
NEW YORK, NY 10021
New York County (212) 639-2000
MS. ELEONORA JOHANNA WALCZAK RPA-C
Physician Assistant (Surgical)
205 E 64TH ST, SUITE 402
NEW YORK, NY 10021
New York County (212) 759-4460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ellen Moynahan's NPI number?

The NPI number for Mary Ellen Moynahan is 1568433522. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Mary Ellen Moynahan located?

Mary Ellen Moynahan practices at 205 E 64th St, New York, NY 10021. The listed phone number is (212) 639-2000.

What is Mary Ellen Moynahan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Mary Ellen Moynahan enrolled in Medicare?

Yes. Mary Ellen Moynahan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ellen Moynahan was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.