Organization Active NPI

Moonlight Pediatrics, P.C.

  • Pediatrics Physician
  • Suffern, NY
National Provider Identifier
1285768598
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MOONLIGHT PEDIATRICS, P.C.
Practice address
27 Indian Rock Plaza Route 59
Suffern, NY 10901-4907
Phone
(845) 357-5437
Fax
(845) 357-5376
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Dr. Giuseppina Benincasa-Feingold, M.D.NPI 1033123930
Title
Owner/Medical Dir
Phone
(845) 357-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

27 Indian Rock Plaza Route 59
Suffern, NY 10901-4907

Mailing address

27 Indian Rock Plaza Route 59
Suffern, NY 10901-4907
Phone (845) 357-5437

National Provider Directory

National Provider Directory

Locations

30 Indian Rock
Ste 2
Suffern, NY 10901
Phone (845) 357-5437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1285768598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 INDIAN ROCK PLAZA ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014907",
            "telephone_number": "845-357-5437",
            "fax_number": "845-357-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 INDIAN ROCK PLAZA ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014907",
            "telephone_number": "845-357-5437",
            "fax_number": "845-357-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BENINCASA-FEINGOLD",
        "authorized_official_first_name": "GIUSEPPINA",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIR",
        "authorized_official_telephone_number": "845-357-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.