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SANG J MOON NP
NPI 1740743855
Nurse Practitioner - Gerontology in Elkins Park, PA

Active since April 08, 2019PECOS Enrolled
8118 OLD YORK RD STE D, ELKINS PARK, PA 19027(215) 635-3151(215) 635-3165 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sang J Moon Np NPPES

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

SANG J MOON NP (NPI 1740743855) is an individual gerontology provider in Elkins Park, Pennsylvania, licensed in Pennsylvania (SP019643) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740743855
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameSANG J MOONCredential: NP
Location Address8118 OLD YORK RD STE DElkins Park, PA 19027-1423
Mailing Address8118 Old York Rd Ste DElkins Park, PA 19027-1423 · (215) 635-3151 · Fax (215) 635-3165
Phone(215) 635-3151
Fax(215) 635-3165
Sole ProprietorNo
Enumeration DateApril 8, 2019
✔ NPI 1740743855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP019643
8118 OLD YORK RD STE D, Elkins Park, PA 19027
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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 (PECOS)

Sang J Moon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19027 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
2 suppliers15 claims1,410 services$2.16 avg. paid by Medicare
Tracheostomy mask, each A7525
DME-Orthotic Devices · category DF000N
2 suppliers12 claims20 services$2.00 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.19 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,516 services$0.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MS. JEAN MARIE PELLEGRINO CRNP
Nurse Practitioner (Family)
8118 OLD YORK RD STE D
ELKINS PARK, PA 19027
Montgomery County (215) 635-3151
ALISHA CANOUSE
Physical Therapist
8118 OLD YORK RD STE D
ELKINS PARK, PA 19027
Montgomery County (215) 635-3151
PINGJIA LI CRNP
Nurse Practitioner (Family)
8118 OLD YORK RD STE D
ELKINS PARK, PA 19027
Montgomery County (215) 635-3151

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 Sang Moon's NPI number?

The NPI number for Sang Moon is 1740743855. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Sang Moon located?

Sang Moon practices at 8118 Old York Rd Ste D, Elkins Park, PA 19027. The listed phone number is (215) 635-3151.

What is Sang Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sang Moon enrolled in Medicare?

Yes. Sang Moon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sang Moon was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.