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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN MOON
NPI 1114729290
Dentist - General Practice in Lakewood, NJ

Active since March 27, 2025
101 2ND ST, LAKEWOOD, NJ 08701(732) 363-6655 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 10, 2026, Mar 27, 2025 (2 updates tracked since 2025).

About John Moon NPPES

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

JOHN MOON (NPI 1114729290) is an individual general practice provider in Lakewood, New Jersey, licensed in New Jersey (22DI03164600) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1114729290
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN MOON
Location Address101 2ND STLakewood, NJ 08701-3324
Mailing Address207 Denver RdParamus, NJ 07652-3205
Phone(732) 363-6655
Sole ProprietorYes
Enumeration DateMarch 27, 2025
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1114729290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · 22DI03164600
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
101 2ND ST, Lakewood, NJ 08701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YULIYA BILAN YU
Nurse Practitioner (Pediatrics)
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
DR. DEBORAH E BROWN DMD
Dentist
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
OCEAN HEALTH INITIATIVES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
PRIYA R LAD R.N., CPNP
Nurse Practitioner (Pediatrics)
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
MR. GILBERT E FLEISCHER MD
Pediatrics
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
ROSILY PHILIP APN
Nurse Practitioner (Family)
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
MRS. KIM UBRIACO NP
Nurse Practitioner (Women's Health)
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655
MRS. JESSICA ELIZABETH SORRENTINO APN
Nurse Practitioner (Adult Health)
101 2ND ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-6655

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 John Moon's NPI number?

The NPI number for John Moon is 1114729290. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is John Moon located?

John Moon practices at 101 2nd St, Lakewood, NJ 08701. The listed phone number is (732) 363-6655.

What is John Moon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John Moon was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.