MOON ADULT HEALTH NP PLLC
NPI 1669065769
Nurse Practitioner - Adult Health in Elmhurst, NY

Active since February 19, 2021CLIA 33D2253912 · Waiver
8635 QUEENS BLVD STE 1B, ELMHURST, NY 11373(718) 286-9176 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moon Adult Health Np Pllc NPPES

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

MOON ADULT HEALTH NP PLLC (NPI 1669065769) is a healthcare organization registered as an adult health in Elmhurst, New York and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Nguyet Duong, Np, as its authorized official.

NPPES Registry Identity

NPI1669065769
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameMOON ADULT HEALTH NP PLLC
Location Address8635 QUEENS BLVD STE 1BElmhurst, NY 11373-4408
Mailing Address3336 71st StJackson Heights, NY 11372-1057 · (718) 286-9176
Organization SubpartNo
Authorized OfficialNguyet DuongNp · (718) 286-9176
Enumeration DateFebruary 19, 2021
NPPES CertifiedFebruary 19, 2021
NPI 1669065769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
8635 QUEENS BLVD STE 1B, Elmhurst, NY 11373

Other Identifiers 1

Medicaid03435343NY

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2253912

Moon Adult Health Np PLLC · Elmhurst, NY
Active · expires Feb 24, 2028
CLIA Number33D2253912
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorNguyet T. Duong
Laboratory Phone(929) 312-9887
Laboratory LocationMoon Adult Health Np PLLC86-35 Queens Blvd #1b, Elmhurst, NY 11373
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Physical Therapist
8635 QUEENS BLVD STE 1B
ELMHURST, NY 11373
Nurse Practitioner (Adult Health)
8635 QUEENS BLVD STE 1B
ELMHURST, NY 11373
Physical Medicine & Rehabilitation
8635 QUEENS BLVD STE 1B
ELMHURST, NY 11373
Physical Therapist
8635 QUEENS BLVD STE 1B
ELMHURST, NY 11373

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 Moon Adult Health Np PLLC's NPI number?

The NPI number for Moon Adult Health Np PLLC is 1669065769. It was assigned to this organization in the NPPES registry on February 19, 2021.

Where is Moon Adult Health Np PLLC located?

Moon Adult Health Np PLLC is located at 8635 Queens Blvd Ste 1B, Elmhurst, NY 11373. The listed phone number is (718) 286-9176.

What is Moon Adult Health Np PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does Moon Adult Health Np PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2253912) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moon Adult Health Np PLLC was last updated on February 19, 2021. 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.