Active NPI
Jade Yunkyung Moon, MD
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1972243392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 342941
- Practice address
- 310 E 14TH St Ste 219S
New York, NY 10003-4284 - Phone
- (646) 605-8119
- NPI assigned
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 342941 | NY | Primary |
Addresses
Primary practice location
310 E 14TH St Ste 219S
New York, NY 10003-4284
Mailing address
310 E 14TH St Ste 219S
New York, NY 10003-4284
Phone (646) 605-8119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Harvard Medical School, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 City PT
Apt 32G
Brooklyn, NY 11201-5381
150 E 42ND St
New York, NY 10017-5612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342941 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1972243392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E 14TH ST STE 219S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034284",
"telephone_number": "646-605-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E 14TH ST STE 219S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034284",
"telephone_number": "646-605-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "JADE",
"middle_name": "YUNKYUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "342941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.