Moonlight Medical Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MOONLIGHT MEDICAL TRANSPORTATION LLC

Doing business as

Moonlight Medical Transportation LLC

Practice address

880 Reynard Ave
Cincinnati, OH 45231-4900

Phone

(502) 439-6304

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed Awil

Title

Owner

Phone

(502) 439-6304

Specialties & licenses 1

Addresses

Other names 1

• MOONLIGHT MEDICAL TRANSPORTATION LLC Doing business as

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1538853106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 REYNARD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314900",
            "telephone_number": "502-439-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 REYNARD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314900",
            "telephone_number": "502-439-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "AWIL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-439-6304"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOONLIGHT MEDICAL TRANSPORTATION LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Moon
• Patrycja Anna Moon, RN
• Stephanie Moon
• Amy Jo Mooney, LISW
• Bryn-Erinn Mooney, MS CCC-SLP
• Maryn Teddy Moor, LISW
• Joi Alicia Moore Felton
• Amy Moore-Kelm, M.A., C.T.
• Adenike Mojisola Moore, D.O.
• Aimee Gittere Moore, OCPSA

• Non-emergency Medical Transport (VAN) in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.