Moonlight Ambulette Services Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

B90030 Issued in NY

Legal business name

MOONLIGHT AMBULETTE SERVICES INC

Practice address

1612 Neptune Ave FL 3
Brooklyn, NY 11224-2718

Phone

(718) 996-4500

Fax

(718) 996-1143

NPI assigned

Apr 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anatoly Rosenthal

Title

President

Phone

(718) 996-4500

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114143070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 NEPTUNE AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242718",
            "telephone_number": "718-996-4500",
            "fax_number": "718-996-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 NEPTUNE AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242718",
            "telephone_number": "718-996-4500",
            "fax_number": "718-996-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT AMBULETTE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-996-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "B90030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01884555",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sucmyun Moon, M.D.
• Sylvia Soyoung Moon, DDS
• Holly Jennifer Mooney, M.A CCC-SLP
• Karissa Lynn Mooney, MA, CCC-SLP
• Michael Joseph Mooney, LCSW
• Moonlight Smile Dental PC
• Moonwalk Orthotics Inc
• Unni Mooppan, MD
• Emily Mooradian, LMHC
• Madison Justice Moorby

• Non-emergency Medical Transport (VAN) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.