Active NPI
Ki-Ho Moon, M.D.
- Orthopaedic Surgery Physician
- Brooklyn, NY
National Provider Identifier
1982644563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 132361
- Practice address
- 326 7TH St
Brooklyn, NY 11215-3311 - Phone
- (718) 965-3393
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 132361 | NY | Primary |
Addresses
Primary practice location
326 7TH St
Brooklyn, NY 11215-3311
Mailing address
326 7TH St
Brooklyn, NY 11215-3311
Phone (718) 965-3393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00464824 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132361 | NY | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1982644563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 7TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153311",
"telephone_number": "718-965-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 7TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153311",
"telephone_number": "718-965-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "KI-HO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "132361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00464824",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.