SANGROK MOON D.C., L.AC.
NPI 1184988107
Acupuncturist in Fort Lee, NJ
About Sangrok Moon D.c., L.ac. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANGROK MOON D.C., L.AC. (NPI 1184988107) is an individual acupuncturist in Fort Lee, New Jersey, licensed in New Jersey (25MZ00081300) and active in the NPI registry since June 2012.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sangrok Moon D.c., L.ac. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sangrok Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Lee, NJ 07024
- Reassigned Medicare billing, New Jersey enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sangrok Moon's NPI number?
The NPI number for Sangrok Moon is 1184988107. It was assigned to this individual provider in the NPPES registry on June 25, 2012.
Where is Sangrok Moon located?
Sangrok Moon practices at 2460 Lemoine Ave Ste 203, Fort Lee, NJ 07024. The listed phone number is (201) 559-5307.
What is Sangrok Moon's specialty?
The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.
Is Sangrok Moon enrolled in Medicare?
Yes. Sangrok Moon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sangrok Moon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sangrok Moon reassigns Medicare benefits to Sm Chiropractic PC (Fort Lee, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sangrok Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sangrok Moon was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Sangrok Moon, D.C., L.AC. · NPI 1184988107
Acupuncturist provider in Fort Lee, New Jersey. Individual provider, active in the CMS NPPES registry since June 25, 2012.
## Identity
- **NPI:** 1184988107 (Entity type: Individual)
- **Enumerated:** June 25, 2012
- **Primary specialty:** Acupuncturist · taxonomy 171100000X
- **State license:** 25MZ00081300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 2460 LEMOINE AVE STE 203, Fort Lee, NJ 07024-6210
- **Phone:** (201) 559-5307 · **Fax:** (201) 351-4787
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Sm Chiropractic PC (NPI 1356764492, Fort Lee, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1184988107) · Data from the CMS NPPES public registry.