CHANG WON MOON MD
NPI 1053479964
Military Health Care Provider in Apo, AP

Q: What is Chang Moon's NPI number?

The NPI number for Chang Moon is 1053479964. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Chang Moon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Q: When was this NPI record last updated?

The NPPES record for Chang Moon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 04, 2006

B CO 168 MED BN, APO, AP 96205(315) 741-6650 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Chang Won Moon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANG WON MOON MD (NPI 1053479964) is an individual military health care provider provider in Apo, AP, licensed in New York (193368) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1053479964

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameCHANG WON MOONCredential: MD

Location AddressB CO 168 MED BNApo, AP 96205

Mailing AddressB Co 168 Med BnApo, AP 96205

Phone(315) 741-6650

Sole ProprietorNo

Enumeration DateDecember 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1053479964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

License✔ Licensed in NY · 193368

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chang Moon's NPI number?

The NPI number for Chang Moon is 1053479964. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Chang Moon located?

Chang Moon practices at B Co 168 Med Bn, Apo, AP 96205. The listed phone number is (315) 741-6650.

What is Chang Moon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Chang Moon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.