Thomas Moon, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

058338-1 Issued in NY

Practice address

30 E 37TH St
New York, NY 10016-3019

Phone

(646) 727-4188

NPI assigned

Jul 17, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1295176329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 37TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163019",
            "telephone_number": "646-727-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 37TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163019",
            "telephone_number": "646-727-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Montgomery St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073023869",
            "country_code": "US",
            "telephone_number": "201-461-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "THOMAS",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02598900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058338-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared D Moon
• Jee Ye Moon, LMSW
• Sandra Moon, CRNA
• Son-Yung Moon, RPH
• Starbeth Moon
• Younghoon Moon, MD
• Marsha Moona, ANCILLARY SERVICES
• Moonching Wu Acupuncture PLLC
• Priyanka Moondra, DO
• Anne Margaret Mooney, MD

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.