SANG J MOON (NPI# 1740743855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740743855 |
| Entity Type | Individual |
| Full Name | SANG J MOON |
| Credential | NP |
| Practice Address |
8118 Old York Rd Ste D Elkins Park PA 19027-1423 |
| Practice Telephone | 2156353151 |
| Practice Fax Number | 2156353165 |
| Mailing Telephone | 2156353151 |
| Mailing Fax Number | 2156353165 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP019643 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942554043 | Sang Woong Moon | Social Worker | 3727 W 6th St, 230, Los Angeles, CA 90020-5105 | 2012-10-29 |
| 1952454605 | Sang Ho Moon | Dentist | 1801 E 2nd St, Suite 1, Scotch Plains, NJ 07076-1749 | 2007-01-18 |
| Street Address |
8118 OLD YORK RD STE D |
| City | ELKINS PARK |
| State | PA |
| Zip Code | 19027-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740817915 | Dulie Rene | Nurse Practitioner | 7801 Old York Road, Elkins Park, PA 19027 | 2020-03-26 |
| 1003384926 | Mikael Laursen Brucker | Acupuncturist | 710 Meetinghouse Rd, Elkins Park, PA 19027 | 2018-11-08 |
| 1992289466 | Paragon Home Care LLC | In Home Supportive Care | 8116 Old York Rd., Suite 200, Elkins Park, PA 19027 | 2018-09-20 |
| 1932697406 | Elkins Park Chiropractic Center LLC | Chiropractor | 1831 W. Cheltenham Ave, Elkins Park, PA 19027 | 2018-04-30 |
| 1952802589 | Bilingual Brain Inc. | Speech-Language Pathologist | 610 Old York Road Suite 400, Jenkintown, PA 19027 | 2018-02-28 |
| 1063925618 | Love Thy Neighbor Care Service, LLC | In Home Supportive Care | 939 Township Line Rd Unit 3, Elkins Park, PA 19027 | 2017-11-06 |
| 1679029821 | Mosley Group Inc | Home Health | 7208 Chestnut Ave, 1, Melrose Park, PA 19027 | 2016-08-28 |
| 1740638576 | Einstein Medical Center | Specialist | 60 Township Line Road, Elkins Park, PA 19027 | 2016-06-02 |
| 1457720385 | Effraim Home Care Agency LLC | Home Health | 2001a South John Russell Circle, Elkins Park, PA 19027 | 2015-09-22 |
| 1083044531 | Liberty Human Services, LLC | Community/Behavioral Health | 7689, Washington Lane, Apt. B, Elkins Park, PA 19027 | 2013-11-20 |
| Find all providers in zip 19027 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431207 | Gerald Francis Driscoll Jr. | Nurse Practitioner | 8118 Old York Rd, Suite D, Elkins Park, PA 19027-1423 | 2005-10-13 |
| 1396074357 | Primary Care At Home LLC | Nurse Practitioner | 8118 Old York Rd, Suite D, Elkins Park, PA 19027-1423 | 2009-12-21 |
| 1053442111 | Suzan Weller Fine | Nurse Practitioner | 7900 Old York Rd, Suite 108b, Elkins Park, PA 19027-2310 | 2007-03-08 |
| 1629023593 | Primary Homecare, LLC | Nurse Practitioner | 8118 Old York Rd, Suite D, Elkins Park, PA 19027-1423 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | ELKINS PARK |
| Zip Code | 19027 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.