Individual provider Active NPI

John J Moy, MD

  • Ophthalmology Physician
  • Park Ridge, IL
National Provider Identifier
1700804853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
03609589801 Issued in IL
Practice address
444 N Northwest Hwy
360
Park Ridge, IL 60068-3263
Phone
(847) 823-2127
Fax
(847) 823-0641
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 03609589801 IL Primary

Addresses

Primary practice location

444 N Northwest Hwy
360
Park Ridge, IL 60068-3263

Mailing address

444 N Northwest Hwy
360
Park Ridge, IL 60068-3263
Phone (847) 823-2127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031231000336 IL Practitioner - Ophthalmology 0840198602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists of Illinois SCGroup PAC ID 0042118804, 5 clinicians

Practice addresses (Care Compare)

444 N Northwest Hwy
Suite 360
Park Ridge, IL 60068-3277
Phone (847) 823-2127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24210ILMDAddiction (Substance Use Disorder) Counselor
03609589801ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists of Illinois, S.C, Ophthalmology CurrentSince Dec 1, 2003 Accepting new patients
LGH-a/Golf Astc, LLC PastSince May 8, 2024 Accepting new patients
Ridge Optical PastSince Dec 1, 2003 Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. Past Accepting new patients

Locations

444 N Northwest Hwy
Park Ridge, IL 60068
Phone (847) 685-9900

444 N Northwest Hwy
Ste 360
Park Ridge, IL 60068
Phone (847) 823-2127

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.moy.p1@direct.eyespecialistsofil.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700804853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "360",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683263",
            "telephone_number": "847-823-2127",
            "fax_number": "847-823-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "360",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683263",
            "telephone_number": "847-823-2127",
            "fax_number": "847-823-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "03609589801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.