Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ata S Moshiri, MD, MPH

Individual provider Dermatology Physician · NPI 1619394780

Dr. Ata S Moshiri, MD, MPH is a Dermatology in New York, New York. Graduated from University of Washington School of Medicine in 2014, 12 years ago. Practices with New York University, a 5,884-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
12
Trained at
University of Washington School of Medicine
Licensed in
NY, WA
In the registry since
2014
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

222 E 41st St Fl 25
New York, NY 10017-6739
Phone: (212) 263-7250
Fax: (212) 263-1683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 — (206) 598-2267
  • 825 Eastlake Ave E, Seattle, WA 98109-4405 — (855) 557-0555

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 320246 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence MD60949822 (WA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 320246 (NY)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MD60949822 (WA)

Record details

NPI number1619394780
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedMarch 26, 2014
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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