MALK MOZEB
NPI 1710853122
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Active since October 13, 2025PECOS EnrolledAccepts Medicare Assignment
719 HARRISON ST, SYRACUSE, NY 13210(315) 464-3265(315) 464-3282 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 12, 2026, Nov 16, 2025 (2 updates tracked since 2025).

About Malk Mozeb NPPES

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

MALK MOZEB (NPI 1710853122) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (407169) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1710853122
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMALK MOZEB
Location Address719 HARRISON STSyracuse, NY 13210-2695
Mailing Address719 Harrison StSyracuse, NY 13210-2695 · (315) 464-3265 · Fax (315) 464-3282
Fax(315) 464-3282
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 13, 2025
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1710853122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 407169
719 HARRISON ST, Syracuse, NY 13210

Secondary Practice Location 1

Location 14900 Broad RdSyracuse, NY 13215-2265 · Phone (315) 464-3265 · Fax (315) 464-3282

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Malk Mozeb is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103312632
PECOS Enrollment IDI20260105001158
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
719 HARRISON ST
SYRACUSE, NY 13210
Psychologist
719 HARRISON ST
SYRACUSE, NY 13210
Nurse Practitioner (Psychiatric/Mental Health)
719 HARRISON ST
SYRACUSE, NY 13210
Psychiatry & Neurology (Child & Adolescent Psychiatry)
719 HARRISON ST
SYRACUSE, NY 13210
Psychologist (Clinical Child & Adolescent)
719 HARRISON ST
SYRACUSE, NY 13210
Counselor (Mental Health)
719 HARRISON ST
SYRACUSE, NY 13210
Nurse Practitioner (Psychiatric/Mental Health)
719 HARRISON ST
SYRACUSE, NY 13210
Nurse Practitioner (Psychiatric/Mental Health)
719 HARRISON ST
SYRACUSE, NY 13210

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 Malk Mozeb's NPI number?

The NPI number for Malk Mozeb is 1710853122. It was assigned to this individual provider in the NPPES registry on October 13, 2025.

Where is Malk Mozeb located?

Malk Mozeb practices at 719 Harrison St, Syracuse, NY 13210. The listed phone number is (315) 464-3265.

What is Malk Mozeb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Malk Mozeb enrolled in Medicare?

Yes. Malk Mozeb is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Malk Mozeb affiliated with any hospitals?

According to CMS data, Malk Mozeb is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Malk Mozeb was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.