Carmen Moir, PA-C
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1104760057
StatusActive
Last updated in NPPESJul 6, 2026
Details
- NPI
- 1104760057
- Entity type
- Individual (NPI-1)
- Name
- Carmen Moir
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2026
- Certification date
- Jul 6, 2026
- Last updated
- Jul 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 035846 | NY | Yes |
Practice location
1275 York AveNew York, NY 10065-6007
Phone 212-639-2000
Mailing address
1275 York AveNew York, NY 10065-6007
Phone 212-639-2000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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