Seong Hoon Moon, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030357 Issued in NY

Practice address

9046 Corona Ave
Elmhurst, NY 11373-4076

Phone

(516) 672-2886

Fax

(718) 463-6392

NPI assigned

Nov 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hole in One Physical Therapy PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1457718785
  Medicare reassignment Authorized official
• Bayside Pain & Rehabilitation Medicine, P.C.

  • Psychiatry Physician
  • Flushing, NY
  • NPI 1356580039
  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1194154815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9046 CORONA AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734076",
            "telephone_number": "516-672-2886",
            "fax_number": "718-699-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9046 CORONA AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734076",
            "telephone_number": "516-672-2886",
            "fax_number": "718-463-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "SEONG HOON",
        "name_prefix": "Dr.",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Luigi Mongillo, M.D.
• Fnu Monika
• Johanna J Monro, CNM
• Shahorin Monzoor
• Moon Adult Health NP PLLC
• Allison Moore
• Carmen Jane Moore, MD
• Joshua D Moore
• Angelina T Morales, PSYD
• Eva Morales, LCSW

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.