Active NPIIndividual provider

Kyoung Moon, MD

Anesthesiology in Newark, New Jersey

NPI Number1447220058
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
201-943-8105
Last updated
January 31, 2020

Kyoung Moon is an Anesthesiology based in Newark, NJ. Kyoung Moon practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Kyoung Moon is 1447220058 and holds a License No. 25MA03401700 (NJ). The current practice location address for Kyoung Moon is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 201-943-0034 and via fax at 201-943-8105.

Provider Profile Details

NPI Number
1447220058
Provider Name
Kyoung Moon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
201-943-0034
Fax Number
201-943-8105
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
January 25, 2006
Last Update Date
January 31, 2020
Certification Date
January 31, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
201-943-0034
Fax Number
201-943-8105
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
Po Box 724
Millburn, NJ 07041-0724
City
Millburn
State
NJ
Zip
07041-0724
Phone Number
201-943-0034
Fax Number
201-943-8105

License Information

License Number
25MA03401700
License State
NJ
Taxonomy
Anesthesiology · 207L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kyoung Moon, MD?

The NPI number of Kyoung Moon, MD is 1447220058. It was assigned on January 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Kyoung Moon, MD?

Kyoung Moon, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NJ under license number 25MA03401700.

Where does Kyoung Moon, MD practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 201-943-0034 (phone) or 201-943-8105 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447220058 directly on the NPPES registry website.

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