Moonwalk Orthotics Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOONWALK ORTHOTICS INC

Practice address

2 Skillman St Ste 205
Brooklyn, NY 11205-1549

Phone

(347) 834-5560

Fax

(863) 268-5111

NPI assigned

Aug 7, 2020

Organization subpart

No

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

Authorized official

Name

Martin Landau

Title

Ceo/Founder

Phone

(347) 834-5560

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1750991337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 12TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194512",
            "telephone_number": "347-834-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SKILLMAN ST STE 205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051549",
            "telephone_number": "347-834-5560",
            "fax_number": "863-268-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5711 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112194512",
            "country_code": "US",
            "telephone_number": "347-834-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOONWALK ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "LANDAU",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "347-834-5560"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "5711 12th Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112194512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holly Jennifer Mooney, M.A CCC-SLP
• Karissa Lynn Mooney, MA, CCC-SLP
• Michael Joseph Mooney, LCSW
• Moonlight Ambulette Services Inc
• Moonlight Smile Dental PC
• Unni Mooppan, MD
• Emily Mooradian, LMHC
• Madison Justice Moorby
• Jennifer I Moore-Arnold
• Marcia Orinthia Moore-Sutton

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.