Moonlight Pediatrics of Nyc, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MOONLIGHT PEDIATRICS OF NYC, P.C.

Practice address

111 W 25TH St
New York, NY 10001-7243

Phone

(800) 750-8616

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Krystal McKenna

Title

Manager

Phone

(845) 362-8400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1558714584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FIREMENS MEMORIAL DR",
            "address_2": "SUITE 115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 25TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017243",
            "telephone_number": "800-750-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT PEDIATRICS OF NYC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-362-8400"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Linn Mooney
• Julia Mooney, LCSW
• Kathleen Mooney, NP
• Patrick D Mooney, MD
• Moonlight Acupuncture P.C.
• Moor Health Limited
• John Mooradian, AGNP-C
• Moore Mental Health Counseling Services, PLLC. (Theramoore)
• Moore Mindful Solutions LLC
• Caryn Michelle Moore Shinaba, LCSW

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.