Charles E Moisan Jr MD PC
NPI 1396064416 · Internal Medicine Physician · Elizabethtown, NY
Charles E Moisan Jr MD PC is a Internal Medicine Physician organization in Elizabethtown, NY (NPI 1396064416).
Provider details
- NPI number
- 1396064416
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dianne Ahrent, Office Manager(518) 562-3204
- License
- 102273 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-05-28
- Last updated
- 2010-06-01
Frequently asked questions
- What is Charles E Moisan Jr MD PC's NPI number?
- Charles E Moisan Jr MD PC's National Provider Identifier (NPI) is 1396064416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles E Moisan Jr MD PC?
- Charles E Moisan Jr MD PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Charles E Moisan Jr MD PC located?
- Charles E Moisan Jr MD PC's practice location on file with NPPES is 80 Park St, Elizabethtown, NY 12932-2304.
- What is Charles E Moisan Jr MD PC's phone number?
- The practice phone number listed in the NPPES registry for Charles E Moisan Jr MD PC is (518) 873-6340.
- Who is the authorized official for Charles E Moisan Jr MD PC?
- The authorized official listed on Charles E Moisan Jr MD PC's NPPES record is Dianne Ahrent, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles E Moisan Jr MD PC's NPI active?
- Yes — Charles E Moisan Jr MD PC's NPI (1396064416) is active in the NPPES registry as of the last update on 2010-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.