One Moon Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ONE MOON INC

Doing business as

Vita whole body care

Practice address

750 Route 25a
East Setauket, NY 11733-1239

Phone

(631) 364-9075

NPI assigned

Aug 31, 2017

Last updated

Jun 16, 2018By 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

Mr. Randy M Gonzales, LACNPI 1972944312

Title

Acupuncturist

Phone

(631) 875-7200

Specialties & licenses 1

Addresses

Other names 1

• Vita whole body care Doing business as

Locations

Practitioners 2

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.

• Randy M Gonzales, L.AC,LMT

  • Acupuncturist
  • Farmingville, NY
  • NPI 1972944312
  Authorized official Same address or phone
• Jennifer Carrero, LAC.

  • Acupuncturist
  • Freeport, NY
  • NPI 1316585987
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1689192429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SUFFOLK AVE STE 201",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174498",
            "telephone_number": "631-524-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROUTE 25A",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331239",
            "telephone_number": "631-364-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE MOON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "631-875-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vita whole body care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silvana Obici, MD
• Loretta Ogden, LCSW
• Brian M Okeefe, DMD
• Vanessa Oliva, OTR/L
• Michael P Oliveri, PA-C
• Onehealth Pharmacy LLC
• Cynthia J. Onufrak, NP
• Juliana Marina Opatich, M.D.
• Richard Ortega Jr., NP
• Orthopedic Assoc of Long Island Physicians & Medical Group PLLC

• Acupuncturist in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.