MO-MA MEDICAL PLLC
NPI 1639876485
Otolaryngology in New York, NY
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mo-ma Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mo-Ma Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Mo-Ma Medical PLLC enrolled in Medicare?
Yes. Mo-Ma Medical PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mo-Ma Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Otolaryngology, reassign their Medicare billing to Mo-Ma Medical PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Mo-Ma Medical Pllc · NPI 1639876485
Otolaryngology organization in New York, New York. Organization record, active in the CMS NPPES registry since February 13, 2023.
## Identity
- **NPI:** 1639876485 (Entity type: Organization)
- **Enumerated:** February 13, 2023
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** Grigoriy Mashkevich, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 925 PARK AVE, New York, NY 10028-0210
- **Phone:** (212) 737-8700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Otolaryngology) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639876485) · Data from the CMS NPPES public registry.