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MO-MA MEDICAL PLLC
NPI 1639876485
Otolaryngology in New York, NY

Active since February 13, 2023
925 PARK AVE, NEW YORK, NY 10028(212) 737-8700 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Feb 14, 2023 (2 updates tracked since 2023).

About Mo-ma Medical Pllc NPPES

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

MO-MA MEDICAL PLLC (NPI 1639876485) is a healthcare organization registered as an otolaryngology in New York, New York and active in the NPI registry since February 2023. The organization lists Grigoriy Mashkevich, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1639876485
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMO-MA MEDICAL PLLC
Location Address925 PARK AVENew York, NY 10028-0210
Mailing Address925 Park AveNew York, NY 10028-0210 · (212) 737-8700
Phone(212) 737-8700
Organization SubpartNo
Authorized OfficialGrigoriy MashkevichAuthorized Official · (212) 737-8700
Enumeration DateFebruary 13, 2023
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1639876485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOphthalmologyTaxonomy 207W00000X
925 PARK AVE, New York, NY 10028
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2151301

Moma Medical PLLC Dba Specialty Aesthetic Surgery · New York, NY
Expired · Jul 16, 2026
CLIA Number33D2151301
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorDr. Bruce K. Moskowitz
Laboratory Phone(212) 737-8700
Laboratory LocationMoma Medical PLLC Dba Specialty Aesthetic Surgery925 Park Avenue - Ground Floor, New York, NY 10028
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. AHRON L FRIEDBERG MD
Psychiatry & Neurology (Psychiatry)
925 PARK AVE, SUITE 1B
NEW YORK, NY 10028
New York County (212) 737-5099
DR. ROBERT A. GROSSMAN M.D.
Psychiatry & Neurology (Psychiatry)
925 PARK AVE, SUITE 1B
NEW YORK, NY 10028
New York County (212) 828-9858
GRIGORIY MASHKEVICH MD PC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
925 PARK AVE
NEW YORK, NY 10028
New York County (212) 737-8700
STEIN PLASTIC SURGERY
Surgery (Plastic and Reconstructive Surgery)
925 PARK AVE
NEW YORK, NY 10028
New York County (212) 470-4995
MRS. MARTINA DE GIORGIS LCSW, JD
Social Worker (Clinical)
925 PARK AVE, 1B
NEW YORK, NY 10028
New York County (917) 756-7426

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 Mo-Ma Medical PLLC's NPI number?

The NPI number for Mo-Ma Medical PLLC is 1639876485. It was assigned to this organization in the NPPES registry on February 13, 2023.

Where is Mo-Ma Medical PLLC located?

Mo-Ma Medical PLLC is located at 925 Park Ave, New York, NY 10028. The listed phone number is (212) 737-8700.

What is Mo-Ma Medical PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Mo-Ma Medical PLLC was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.