TAEWON MOON M.D. PA (NPI# 1740744481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740744481 |
| Entity Type | Organization |
| Organization Name | TAEWON MOON M.D. PA |
| Practice Address |
464 Hudson Terrace Suite 102 Englewood Cliffs NJ 07632-2917 |
| Practice Telephone | 2015030066 |
| Practice Fax Number | 2015030190 |
| Mailing Telephone | 2015030066 |
| Mailing Fax Number | 2015030190 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | TAEWON MOON (PRESIDENT) |
| Authorized Official Telephone | 2015030066 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
464 HUDSON TERRACE SUITE 102 |
| City | ENGLEWOOD CLIFFS |
| State | NJ |
| Zip Code | 07632-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174559280 | Hee Kon Yang | Specialist | 464 Hudson Terrace, Suite 101, Englewood Cliffs, NJ 07632 | 2006-06-23 |
| 1477717353 | Hudson Pain Management and Rehab Medical PC | Clinic/Center | 464 Hudson Terrace, Suite G102, Englewood Cliffs, NJ 07632 | 2008-07-10 |
| 1518021039 | Hudson Terrace Medical, P.a. | Clinic/Center | 464 Hudson Terrace, Suite #102, Englewood Cliffs, NJ 07632-2917 | 2006-12-20 |
| 1356374631 | Katherine E Kang | Obstetrics & Gynecology | 464 Hudson Terrace, 2nd Floor, Englewood Cliffs, NJ 07632 | 2006-07-09 |
| 1538197553 | Pascack Valley Medical Care PC | Clinic/Center | 464 Hudson Terrace, 2nd Floor, Englewood Cliffs, NJ 07632 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598247942 | Joanne Y. Y Ji | Acupuncturist | 400 Sylvan Ave Ste#108, Englewood Cliffs, NJ 07632 | 2018-09-02 |
| 1497260111 | Pm Medical Acu. PC | Acupuncturist | 11 New Street, Suite #1, Englewood Cliffs, NJ 07632 | 2017-12-04 |
| 1548795628 | Greene Oaks Operating LLC | Skilled Nursing Facility | 180 Sylvan Av 2nd Floor, Suite 4, Englewood Cliffs, NJ 07632 | 2017-04-26 |
| 1821482134 | Cortland Acquisition LLC | Skilled Nursing Facility | 180 Sylvan Avenue, Carerite Centers LLC, Englewood Cliffs, NY 07632 | 2015-03-25 |
| 1609125475 | Ys Physical Therapy / Best Pain Clinic | Clinic/Center | 140 Sylvan Avenue, Suite 107, Englewood Cliffs, NJ 07632 | 2012-09-07 |
| 1134422785 | John S Cho Md, PC | Anesthesiology | 464 Hudson Terrace Suite 104, Englewood Cliffs, NJ 07632 | 2010-12-20 |
| 1700043841 | North Jersey Rehabilitation Center PC | Acupuncturist | 120 Van Nostrand Ave 1st Fl, Englewood Cliffs, NJ 07632 | 2008-05-16 |
| 1942488572 | Chang H Lee | Clinic/Center | 120 Charlotte Place, Middle Level, Englewood Cliffs, NJ 07632 | 2008-02-06 |
| 1538383336 | Christiane Elhamy Shaker | Pediatrics | 263 Center St, Englewood Cliffs, NJ 07632 | 2007-04-12 |
| 1689728883 | Dina F Rhodes | Physical Therapist | 610 E Palisade Ave, Englewood Cliffs, NJ 07632 | 2007-01-23 |
| Find all providers in zip 07632 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700045598 | Jae Geun Hyun | Specialist | 400 Sylvan Ave Ste 103, Englewood Cliffs, NJ 07632-2717 | 2008-06-05 |
| 1174708937 | Eugene Francis Bonacci | Specialist | 40 Karens Ln, Englewood Cliffs, NJ 07632-1905 | 2007-12-29 |
| 1477749364 | Ehud Krongrad | Specialist | 128 Hollywood Ave, Englewood Cliffs, NJ 07632-2135 | 2007-09-24 |
| 1245368919 | Rabin Fremed Prince PC | Specialist | 700 Palisade Ave, Englewood Cliffs, NJ 07632-3058 | 2007-03-02 |
| 1699825927 | Total Pain Care, P.a. | Specialist | 630 E Palisade Ave, Englewood Cliffs, NJ 07632-1842 | 2007-01-11 |
| 1508927377 | Englewood Cliffs Rehabilitative Services Inc. | Specialist | 661 E Palisade Ave, Englewood Cliffs, NJ 07632-1800 | 2006-12-13 |
| 1558448282 | Medical Billing and Collection Specialists | Specialist | 325 Sylvan Ave, Suite 105, Englewood Cliffs, NJ 07632-2754 | 2006-11-01 |
| 1174559280 | Hee Kon Yang | Specialist | 464 Hudson Terrace, Suite 101, Englewood Cliffs, NJ 07632 | 2006-06-23 |
| 1093710949 | Aaron Rabin | Specialist | 700 Palisade Avenue, Englewood Cliffs, NJ 07632 | 2005-06-16 |
| 1023456647 | Freedom Physical Medicine and Rehabilitation, P.C. | Specialist | 333 Sylvan Ave, Suite 301, Englewood Cliffs, NJ 07632-2724 | 2013-06-05 |
| Find all providers in ENGLEWOOD CLIFFS | ||||
| City | ENGLEWOOD CLIFFS |
| Zip Code | 07632 |
Please comment or provide details below to improve the information on TAEWON MOON M.D. PA.
| 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.