Taewon Moon

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA05670900 Issued in NJ

Practice address

464 Hudson Ter
Suite#102
Englewood Cliffs, NJ 07632-2902

Phone

(201) 503-0066

Fax

(201) 503-0190

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Otolaryngology

Education

Rutgers New Jersey Medical School, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: tmoon@tmm-nj.direct.office.nextgen.com

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

• Taewon Moon M.D. PA

  • Specialist
  • Englewood Cliffs, NJ
  • NPI 1740744481
  Medicare reassignment NPD Authorized official
• Hudson Terrace Medical, P.a.

  • Ambulatory Surgical Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1518021039
  NPD Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902843972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER",
            "address_2": "SUITE#102",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322902",
            "telephone_number": "201-503-0066",
            "fax_number": "201-503-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER",
            "address_2": "SUITE#102",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322902",
            "telephone_number": "201-503-0066",
            "fax_number": "201-503-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "TAEWON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05670900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha B Miqueo, D.D.S.
• Elizabeth Lauren Mitrani, DDS
• MK Chiropractic PC
• Arianna Mohamed
• Kevin Sung Moon, DMD
• Brittany Morales, PA-C
• Boris Mordkovich, M.D.
• Nancy L. Mueller, MD
• Annrita Muhungura
• Uttam L. Munver, M.D.

• Specialist in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.