Organization Active NPI

SH Moon Acupuncture PC

  • Acupuncturist
  • Elmhurst, NY
National Provider Identifier
1245966381
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SH MOON ACUPUNCTURE PC
Practice address
9046 Corona Ave
Elmhurst, NY 11373-4076
Phone
(718) 593-0049
Fax
(929) 328-0088
NPI assigned
Jul 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Authorized official

Name
Seong Hoon Moon, LAC
Title
President
Phone
(516) 672-2886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

9046 Corona Ave
Elmhurst, NY 11373-4076

Mailing address

9046 Corona Ave
Elmhurst, NY 11373-4076
Phone (718) 593-0049

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659139200000",
    "number": "1245966381",
    "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": "718-593-0049",
            "fax_number": "929-328-0088"
        },
        {
            "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": "718-593-0049",
            "fax_number": "929-328-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH MOON ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "SEONG HOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-672-2886",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.