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HYANG YI MOON
NPI 1356054647
Nurse Practitioner - Family in Port Washington, NY

Active since January 02, 2023PECOS EnrolledAccepts Medicare Assignment
85 HAVEN AVE, PORT WASHINGTON, NY 11050(646) 387-5434 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hyang Yi Moon NPPES

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

HYANG YI MOON (NPI 1356054647) is an individual family provider in Port Washington, New York, licensed in New York (347326) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356054647
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHYANG YI MOON
Location Address85 HAVEN AVEPort Washington, NY 11050-3908
Mailing Address85 Haven AvePort Washington, NY 11050-3908 · (646) 387-5434
Phone(646) 387-5434
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 2, 2023
NPPES CertifiedJanuary 1, 2023
✔ NPI 1356054647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 347326
85 HAVEN AVE, Port Washington, NY 11050
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hyang Yi Moon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587101050
PECOS Enrollment IDI20240801002007
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 11050 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Hyang Yi Moon's NPI number?

The NPI number for Hyang Yi Moon is 1356054647. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Where is Hyang Yi Moon located?

Hyang Yi Moon practices at 85 Haven Ave, Port Washington, NY 11050. The listed phone number is (646) 387-5434.

What is Hyang Yi Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hyang Yi Moon enrolled in Medicare?

Yes. Hyang Yi Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hyang Yi Moon was last updated on January 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.