JSM WELLNESS NP IN ACUTE CARE P.C.
NPI 1255137592
Nurse Practitioner - Acute Care in Stony Brook, NY

Active since February 19, 2025
215 HALLOCK RD STE 6A, STONY BROOK, NY 11790(917) 563-1824 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jsm Wellness Np In Acute Care P.c. NPPES

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

JSM WELLNESS NP IN ACUTE CARE P.C. (NPI 1255137592) is a healthcare organization registered as an acute care in Stony Brook, New York and active in the NPI registry since February 2025. The organization lists Ji Soo Moon, President, as its authorized official.

NPPES Registry Identity

NPI1255137592
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameJSM WELLNESS NP IN ACUTE CARE P.C.
Location Address215 HALLOCK RD STE 6AStony Brook, NY 11790-3077
Mailing Address215 Hallock Rd Ste 6aStony Brook, NY 11790-3077 · (917) 563-1824
Organization SubpartNo
Authorized OfficialJi Soo MoonPresident · (917) 945-2497
Enumeration DateFebruary 19, 2025
NPPES CertifiedFebruary 19, 2025
NPI 1255137592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
215 HALLOCK RD STE 6A, Stony Brook, NY 11790

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Acupuncturist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Acupuncturist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Massage Therapist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Massage Therapist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Acupuncturist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Acupuncturist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Massage Therapist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790
Massage Therapist
215 HALLOCK RD STE 6A
STONY BROOK, NY 11790

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 Jsm Wellness Np In Acute Care P.C.'s NPI number?

The NPI number for Jsm Wellness Np In Acute Care P.C. is 1255137592. It was assigned to this organization in the NPPES registry on February 19, 2025.

Where is Jsm Wellness Np In Acute Care P.C. located?

Jsm Wellness Np In Acute Care P.C. is located at 215 Hallock Rd Ste 6A, Stony Brook, NY 11790. The listed phone number is (917) 563-1824.

What is Jsm Wellness Np In Acute Care P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Jsm Wellness Np In Acute Care P.C. was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.