Moon Adult Health NP PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

MOON ADULT HEALTH NP PLLC

Practice address

8635 Queens Blvd Ste 1B
Elmhurst, NY 11373-4408

Phone

(718) 286-9176

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Nguyet DuongNPI 1063641074

Title

NP

Phone

(718) 286-9176

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nguyet Thuy Duong, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Elmhurst, NY
  • NPI 1063641074
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1669065769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 71ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721057",
            "telephone_number": "718-286-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD STE 1B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734408",
            "telephone_number": "718-286-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON ADULT HEALTH NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "NGUYET",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "718-286-9176"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03435343",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Abella Moneva, PT
• Daniel Luigi Mongillo, M.D.
• Fnu Monika
• Johanna J Monro, CNM
• Shahorin Monzoor
• Seong Hoon Moon, D.P.T
• Allison Moore
• Carmen Jane Moore, MD
• Joshua D Moore
• Angelina T Morales, PSYD

• Adult Health Nurse Practitioner in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.