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NPI · 1043804255 · NPPES-sourced

Ji Soo Moon Ag-Acnp

ActiveAcute Care Nurse Practitioner
NPI Number
1043804255
Type 1 · Individual
Taxonomy Code
363LA2100X
Contact
(718) 830-4000
License NY · F432459-01
Last Updated
Enumerated
Primary practice addressNY · 11375-2029
10201 66th RdForest Hills, NY 11375-2029
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About this NPIWhat this record shows.

NPI 1043804255 is registered to Ji Soo Moon Ag-Acnp, a Acute Care Nurse Practitioner practising at 10201 66th Rd in Forest Hills, New York. Acute Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ji Soo Moon Ag-Acnp has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ji Soo Moon Ag-Acnp accepts. To confirm in-network status with your specific health plan, contact Ji Soo Moon Ag-Acnp directly at (718) 830-4000.

Frequently asked

Yes. NPI 1043804255 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Acute Care Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (718) 830-4000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ji Soo Moon Ag-Acnp is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LA2100X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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2 records · same addressOther providers at this location.

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Same specialtyOther Acute Care Nurse Practitioner providers in New York.

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