Active NPI
Moonlight Pediatrics, P.C.
- Pediatrics Physician
- Suffern, NY
National Provider Identifier
1285768598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryLocations
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.
-
- Pediatrics Physician
- Suffern, NY
- NPI 1033123930
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.