Active NPI
SH Moon Acupuncture PC
- Acupuncturist
- Elmhurst, NY
National Provider Identifier
1245966381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryNPI 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.