Moon Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME74705 Issued in FL

Legal business name

MOON FAMILY PRACTICE LLC

Practice address

7448 Docs Grove Cir
Suite 200
Orlando, FL 32819-8010

Phone

(407) 352-1303

Fax

(407) 352-3833

NPI assigned

Jun 30, 2006

Last updated

Nov 11, 2009By 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

Dr. Musarrat Pasha Moon, MDNPI 1275578734

Title

President

Phone

(407) 352-1303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Moon Family Practice LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moon Family Practice, LLC

  • Non-Pharmacy Dispensing Site
  • Orlando, FL
  • NPI 1427310606
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Moon Family Practice, LLC

  • Non-Pharmacy Dispensing Site
  • Orlando, FL
  • NPI 1427310606
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Musarrat Pasha Moon, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1275578734
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1649209917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7448 DOCS GROVE CIR",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198010",
            "telephone_number": "407-352-1303",
            "fax_number": "407-352-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7448 DOCS GROVE CIR",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198010",
            "telephone_number": "407-352-1303",
            "fax_number": "407-352-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "MUSARRAT",
        "authorized_official_middle_name": "PASHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-352-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME74705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Monzon, PH.D.
• Joy Moody, MSW
• Peter John Moody, D.D.S.
• Rebecca Moody
• Tiffany Nicole Moody, M.S.,OTR/L
• Moon Family Practice, LLC
• Autumn Moon
• Larissa Moon, APRN
• Mohammed Naeem Moon, MD
• Musarrat Pasha Moon, MD

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.