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SAEMYI MOON
NPI 1730600446
Physician Assistant in Boston, MA

Active since July 03, 2017

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 10, 2020, Mar 8, 2018 and 1 more (4 updates tracked since 2017).

About Saemyi Moon NPPES

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

SAEMYI MOON (NPI 1730600446) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA6405) and active in the NPI registry since July 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730600446
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAEMYI MOON
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500
Phone(213) 505-5460
Sole ProprietorNo
Enumeration DateJuly 3, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1730600446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA6405
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
55 FRUIT ST, Boston, MA 02114
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Secondary Practice Locations 2

Location 19004 eglise avedowney, CA 90240 · Phone (213) 505-5460
Location 275 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

Other Providers at the Same Location NPPES 20

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

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Saemyi Moon's NPI number?

The NPI number for Saemyi Moon is 1730600446. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Saemyi Moon located?

Saemyi Moon practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (213) 505-5460.

What is Saemyi Moon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Saemyi Moon was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.