1. Home
  2. Directory
  3. Illinois
  4. Swansea
  5. Pediatrics
  6. NPI Profile

MOONLIT PEDIATRICS
NPI 1780295683
Pediatrics in Swansea, IL

Active since August 13, 2020
1 BRONZE POINTE BLVD STE 1A, SWANSEA, IL 62226(216) 778-0808 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2020, Aug 13, 2020 (2 updates tracked since 2020).

About Moonlit Pediatrics NPPES

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

MOONLIT PEDIATRICS (NPI 1780295683) is a healthcare organization registered as a pediatrics in Swansea, Illinois and active in the NPI registry since August 2020. The organization lists Qamar Zaman, Director, as its authorized official.

NPPES Registry Identity

NPI1780295683
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMOONLIGHT PEDIATRICS LLC
Location Address1 BRONZE POINTE BLVD STE 1ASwansea, IL 62226-1045
Mailing Address866 Revere DrSaint Louis, MO 63141-8818
Phone(216) 778-0808
Organization SubpartNo
Authorized OfficialQamar ZamanDirector · (216) 778-0808
Enumeration DateAugust 13, 2020
Last NPPES UpdateAugust 18, 20202 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1780295683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1 BRONZE POINTE BLVD STE 1A, Swansea, IL 62226
Open in Google Maps ↗

Other Names 1

Doing Business AsMoonlit Pediatrics

Other Providers at the Same Location NPPES 2

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

DR. QAMAR U ZAMAN M.D.
Pediatrics
1 BRONZE POINTE BLVD STE 1A
SWANSEA, IL 62226
St. Clair County (216) 788-0808
MRS. ASHLEY RENEE BINGMAN FNP-C
Nurse Practitioner
1 BRONZE POINTE BLVD STE 1A
SWANSEA, IL 62226
St. Clair County (618) 233-7055

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 Moonlight Pediatrics LLC's NPI number?

The NPI number for Moonlight Pediatrics LLC is 1780295683. It was assigned to this organization in the NPPES registry on August 13, 2020. The provider is doing business as Moonlit Pediatrics.

Where is Moonlight Pediatrics LLC located?

Moonlight Pediatrics LLC is located at 1 Bronze Pointe Blvd Ste 1A, Swansea, IL 62226. The listed phone number is (216) 778-0808.

What is Moonlight Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Moonlight Pediatrics LLC was last updated on August 18, 2020. 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.