Individual provider Active NPI

Moo Jin Oh, MD

  • Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1447871447
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
341023 Issued in NY
Practice address
5465 SW 34TH St
Gainesville, FL 32608-5032
Phone
(352) 384-3560
NPI assigned
Apr 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 341023 NY Primary
Psychiatry Physician 2084P0800X 1021996 MA

Addresses

Primary practice location

5465 SW 34TH St
Gainesville, FL 32608-5032

Mailing address

5465 SW 34TH St
Gainesville, FL 32608-5032

Other practice location 1

1199 Park Ave Apt 1C
New York, NY 10128-1712
Phone (212) 828-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911004101 MA Practitioner - Psychiatry 4082117411 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Suffolk Community Services IncGroup PAC ID 9234037516, 42 clinicians

Practice addresses (Care Compare)

151 Everett Ave
Chelsea, MA 02150-1812
Phone (617) 884-8300

25 Staniford St
Boston, MA 02114-2503
Phone (617) 912-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1021996MAMDPsychiatry Physician
341023NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 5, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc Psychiatry CurrentSince Jul 5, 2025 Accepting new patients
North Suffolk Community Services Inc. CurrentSince Jul 25, 2025 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

25 Staniford St
Boston, MA 02114
Phone (617) 626-8500

62 13th St
Ste 100
Charlestown, MA 02129

301 Broadway
Chelsea, MA 02150
Phone (617) 889-4860

151 Everett Ave
Chelsea, MA 02150
Phone (617) 884-8300

14 Porter St
East Boston, MA 02128
Phone (617) 569-3189

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1447871447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 SW 34TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 SW 34TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085032",
            "telephone_number": "352-384-3560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Park Ave Apt 1C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281712",
            "country_code": "US",
            "telephone_number": "212-828-7473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "MOO JIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "341023",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "1021996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.