JIYONG MOON (NPI# 1932722709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932722709 |
| Entity Type | Individual |
| Full Name | JIYONG MOON |
| Practice Address |
17543 Hillside Ave Jamaica NY 11432-5724 |
| Practice Telephone | 7184874413 |
| Practice Fax Number | 7184874089 |
| Mailing Telephone | 7184874413 |
| Mailing Fax Number | 7184874089 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 006252 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922518091 | Jiyong Moon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 E Medical Center Dr, 11th Floor Cs Mott Childrens Hospital, Ann Arbor, MI 48109-4204 | 2017-10-03 |
| Street Address |
17543 HILLSIDE AVE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700449261 | Jacklyn C Kelly | Nurse Practitioner | 17543 Hillside Ave, Jamaica, NY 11432-5724 | 2019-04-19 |
| 1437795903 | Maileen Mendoza | Physical Therapist | 17543 Hillside Ave, Jamaica, NY 11432-5724 | 2019-11-20 |
| 1154964856 | Marylene Pineda | Physical Therapist | 17543 Hillside Ave, Jamaica, NY 11432-5724 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538770243 | Longyu Ma | Acupuncturist | 14821 Jamaica Ave, Jamaica, NY 11435-4032 | 2020-08-14 |
| 1588285241 | Victor Escorbores | Acupuncturist | 8784 165th St Apt 105, Jamaica, NY 11432-3542 | 2020-05-04 |
| 1225671274 | Ella Matatov | Acupuncturist | 9218 165th St, Jamaica, NY 11433-1104 | 2019-10-22 |
| 1356833636 | Christina Caroline Rients | Acupuncturist | 8010 165th St, Jamaica, NY 11432-1208 | 2018-06-03 |
| 1700376233 | Synergy Acupuncture PC | Acupuncturist | 11442 Sutphin Blvd # 1, Jamaica, NY 11434-1021 | 2018-05-10 |
| 1881042687 | 410 Acupuncture PC | Acupuncturist | 9050 Parsons Bvld Ste 410, Jamaica, NY 11432-6012 | 2016-06-02 |
| 1629466891 | Patrick Brian Foss | Acupuncturist | 18226 Hillside Ave, 2r, Jamaica, NY 11432-4837 | 2014-12-22 |
| 1215291646 | Anthony Chun | Acupuncturist | 13913 87th Rd, Jamaica, NY 11435-3011 | 2012-06-29 |
| 1144522038 | Sungil Hong | Acupuncturist | 16110 Jamaica Ave Ste 301, Jamaica, NY 11432-6149 | 2010-11-27 |
| 1790805927 | Yury Yuabov | Acupuncturist | 177-33 Edgerton Rd, Jamaica, NY 11432 | 2007-03-30 |
| Find all providers in JAMAICA | ||||
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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.