- Practice location
- 301 27TH Ave, Astoria, NY 11102-4616
- Phone
- 718-907-1344
- Fax
- 718-907-1348
- Last updated
- October 23, 2026
Moonju Bae is a Nurse Practitioner, Family based in Astoria, NY. Moonju Bae practices in Astoria, NY and has the professional credentials of NP. The NPI Number for Moonju Bae is 1912484627 and holds a License No. F343116 (NY). The current practice location address for Moonju Bae is 301 27TH Ave, Astoria, NY 11102-4616 and can be reached out via phone at 718-907-1344 and via fax at 718-907-1348.
Provider Profile Details
- NPI Number
- 1912484627
- Provider Name
- Moonju Bae
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 301 27TH Ave, Astoria, NY 11102-4616
- Phone Number
- 718-907-1344
- Fax Number
- 718-907-1348
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 25, 2018
- Last Update Date
- October 23, 2026
- Certification Date
- October 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 301 27TH Ave
Astoria, NY 11102-4616 - City
- Astoria
- State
- New York
- Zip
- 11102-4616
- Phone Number
- 718-907-1344
- Fax Number
- 718-907-1348
Provider Business Mailing Address Details
- Address
- 2213 City Pl
Edgewater, NJ 07020-3155 - City
- Edgewater
- State
- NJ
- Zip
- 07020-3155
- Phone Number
- 718-618-0401
- Fax Number
- 607-306-4582
License Information
- License Number
- F343116
- License State
- NY
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Moonju Bae, NP?
The NPI number of Moonju Bae, NP is 1912484627. It was assigned on July 25, 2018 and is currently active in the NPPES registry.
What is the specialty of Moonju Bae, NP?
Moonju Bae, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number F343116.
Where does Moonju Bae, NP practice?
The practice location is 301 27TH Ave, Astoria, NY 11102-4616. The office can be reached at 718-907-1344 (phone) or 718-907-1348 (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 1912484627 directly on the NPPES registry website.