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

Kengwa Corey Moy, MD

Individual provider Anesthesiology Physician · NPI 1205363843

Kengwa Corey Moy, MD is an Anesthesiology in New York, New York. Qualified in 2017, 9 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 E 77th St
New York, NY 10075-1850
Phone: (212) 434-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 312705 (NY)

Record details

NPI number1205363843
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 14, 2017
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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