MEDICARE: DR. ALEXANDER MOVSHOVICH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	205138	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	032984Q95	OTHER	NJ	MEDICARE RENDERING NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386659977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER MOVSHOVICH M.D.

Provider Business Mailing Address
First Line	:	160 E 56TH ST STE 301
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-3609
Country	:	US
Telephone Number	:	866-426-5671
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 E 56TH ST STE 301
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-3609
Country	:	US
Telephone Number	:	866-426-5671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	03/30/2026

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