Active NPI
Caroline M Moon, MD
- Pediatrics Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 248907
- Practice address
- New York Medical College
Munger Pavilion, Department of Pediatrics
Valhalla, NY 10595 - Phone
- (914) 593-8850
- Fax
- (914) 593-8833
- NPI assigned
- Jun 12, 2008
- Last updated
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 248907 | NY | Primary |
Addresses
Primary practice location
New York Medical College
Munger Pavilion, Department of Pediatrics
Valhalla, NY 10595
Mailing address
New York Medical College
Munger Pavilion, Department of Pediatrics
Valhalla, NY 10595
Phone (914) 593-8850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248907 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon Neighborhood Health Center Inc | Current | Accepting new patients | |
| Mount Vernon Neighborhood Health Center, Inc. | Current | Accepting new patients | |
| Boston Children's Health Physicians, LLP | Pediatrics | Past | Accepting new patients |
| Westchester County Health Care Corporation | Past | Accepting new patients |
Locations
107 W 4th St
Mount Vernon, NY 10550
Phone (914) 699-0235
295 Knollwood Rd
White Plains, NY 10607
Phone (914) 699-7200
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- caroline.moon.p1@direct.cwpw.nextgenshare.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mount Vernon Physician Group
- Specialist
- Mount Vernon, NY
- NPI 1295912541
-
dba Westchester Community Health Center Yonkers
- Federally Qualified Health Center (FQHC)
- Yonkers, NY
- NPI 1952550055
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
dba Westchester Medical Center
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1245490374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NEW YORK MEDICAL COLLEGE",
"address_2": "MUNGER PAVILION, DEPARTMENT OF PEDIATRICS",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-593-8850",
"fax_number": "914-593-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEW YORK MEDICAL COLLEGE",
"address_2": "MUNGER PAVILION, DEPARTMENT OF PEDIATRICS",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-593-8850",
"fax_number": "914-593-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "CAROLINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "248907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.