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

JOHN JUNG JE MOON MD
NPI 1164162855
Dermatology in New Providence, NJ

Active since March 30, 2022PECOS Enrolled
890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974(908) 277-8668 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About John Jung Je Moon Md NPPES

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

JOHN JUNG JE MOON MD (NPI 1164162855) is an individual dermatology provider in New Providence, New Jersey, licensed in New Jersey (25MA13184500) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164162855
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJOHN JUNG JE MOONCredential: MD
Location Address890 MOUNTAIN AVENew Providence, NJ 07974-1218
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Sole ProprietorNo
Enumeration DateMarch 30, 2022
Last NPPES UpdateSeptember 11, 2026
NPPES CertifiedSeptember 11, 2026
✔ NPI 1164162855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NJ · 25MA13184500
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
890 MOUNTAIN AVE, New Providence, NJ 07974

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Jung Je Moon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07974 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Counselor (Addiction (Substance Use Disorder))
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Social Worker (Clinical)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Pediatrics
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Counselor (Professional)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Psychiatry & Neurology (Psychiatry)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Social Worker (Clinical)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Nurse Practitioner (Adult Health)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974
Counselor (Professional)
890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974

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 1164162855. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is John Moon located?

John Moon practices at 890 Mountain Ave, New Providence, NJ 07974. The listed phone number is (908) 277-8668.

What is John Moon's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is John Moon enrolled in Medicare?

Yes. John Moon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Moon was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.