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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.

JUNGWON MOON
NPI 1497401475
Acupuncturist in Fresh Meadows, NY

Active since February 28, 2022
19617 73RD AVE FL 1, FRESH MEADOWS, NY 11366(917) 273-1300 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 27, 2026, Oct 13, 2023, Feb 28, 2022 (3 updates tracked since 2022).

About Jungwon Moon NPPES

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

JUNGWON MOON (NPI 1497401475) is an individual acupuncturist in Fresh Meadows, New York, licensed in New Jersey (25MZ00158500) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1497401475
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameJUNGWON MOON
Location Address19617 73RD AVE FL 1Fresh Meadows, NY 11366-1808
Mailing Address19617 73rd Ave Fl 1Fresh Meadows, NY 11366-1808 · (917) 273-1300
Phone(917) 273-1300
Sole ProprietorYes
Enumeration DateFebruary 28, 2022
Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1497401475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in NJ · 25MZ00158500
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
19617 73RD AVE FL 1, Fresh Meadows, NY 11366
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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

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 Jungwon Moon's NPI number?

The NPI number for Jungwon Moon is 1497401475. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Where is Jungwon Moon located?

Jungwon Moon practices at 19617 73rd Ave Fl 1, Fresh Meadows, NY 11366. The listed phone number is (917) 273-1300.

What is Jungwon Moon's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Jungwon Moon was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.