Luna Wellness Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LUNA WELLNESS INC

Practice address

111 John St Ste 630
New York, NY 10038-3124

Phone

(212) 240-9471

NPI assigned

Dec 24, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Ellada Tinatti

Title

President

Phone

(212) 240-9471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Xiao-Ke Gao, M.D.

  • Neurology Physician
  • New York, NY
  • NPI 1730136607
  NPD
• Roy M Shanon, M.D.

  • Neurology Physician
  • Melville, NY
  • NPI 1285723791
  NPD
• Asim G Dikengil, MD

  • Diagnostic Radiology Physician
  • Lyndhurst, NJ
  • NPI 1295838845
  NPD

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1669280525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JOHN ST STE 630",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383124",
            "telephone_number": "212-240-9471",
            "fax_number": "201-353-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JOHN ST STE 630",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383124",
            "telephone_number": "212-240-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "TINATTI",
        "authorized_official_first_name": "ELLADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-240-9471",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manshan Sandra Lun
• Yvonne P Lun, LCSWR ACSW DCSW
• Luna Acupuncture PC
• Gladys Michelle Luna Garcia, DDS
• Luna Physical Therapy PLLC
• Jacqueline Luna-Knapp, L. AC.
• Alex Luna, MD
• April Luna
• Danielle Marie Luna, DPT
• Edgar Client Luna, DC

• Diagnostic Radiology Physician in New York, NY
• Providers in New York, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.