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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Elmhurst, NY
- NPI 1194154815
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.