Moon Y. Kim, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA02776100 Issued in NJ

Practice address

36 Hillcrest Dr
Upper Saddle River, NJ 07458-2004

Phone

(201) 825-3454

NPI assigned

Aug 18, 2005

Last updated

Aug 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Comfort Anesthesia PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1073685277
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1982696605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HILLCREST DR",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582004",
            "telephone_number": "201-825-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 HILLCREST DR",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582004",
            "telephone_number": "201-825-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MOON",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA02776100",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "118587",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092006",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Kaplan, LMSW
• Nicole Fallon Karmin
• Kavneet Kaur, M.D.
• Anna Kazmierczak, PT,DPT
• Anna Kelly, LCSW, LCADC
• Howard Kliman, DPM
• Bonnie Krieger
• Raphael Kupferman, PT, DPT
• Theresa Marie Lalime
• Elysa I Levy, OTL

• Anesthesiology Physician in Upper Saddle River, NJ
• Providers in Upper Saddle River, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.