HOLLYWOOD AMBULATORY SURGERY CENTER
NPI 1831203215
Clinic/Center - Ambulatory Surgical in Hollywood, MD

Active since August 19, 2006
24435 MERVELL DEAN RD, HOLLYWOOD, MD 20636(301) 373-2116(301) 373-5281 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hollywood Ambulatory Surgery Center NPPES

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

HOLLYWOOD AMBULATORY SURGERY CENTER (NPI 1831203215) is a healthcare organization registered as an ambulatory surgical in Hollywood, Maryland and active in the NPI registry since August 2006. The organization lists Betty Ann Quade, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1831203215
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameYOUNGSIK MOON, M.D., P.A.
Location Address24435 MERVELL DEAN RDHollywood, MD 20636-2712
Mailing AddressPo Box 37Hollywood, MD 20636-0037 · (301) 373-2116 · Fax (301) 373-5281
Fax(301) 373-5281
Organization SubpartNo
Authorized OfficialBetty Ann QuadeBusiness Manager · (301) 373-2116
Enumeration DateAugust 19, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1831203215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MD · A1200
24435 MERVELL DEAN RD, Hollywood, MD 20636

Other Names 1

Doing Business AsHollywood Ambulatory Surgery Center

Other Identifiers 9

Other029JMD · Carefirst
Other5108771Aetna
Other57494301MD · Carefirst
Other250800Mamsi
Other5607239First Health/ccn
Other0008273Cigna
Other199904-02Amerigroup
OtherPL8DC · Carefirst
Other2134736Aetna Hmo

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.

Family Medicine
24435 MERVELL DEAN RD
HOLLYWOOD, MD 20636
Nurse Practitioner (Family)
24435 MERVELL DEAN RD
HOLLYWOOD, MD 20636
Family Medicine
24435 MERVELL DEAN RD
HOLLYWOOD, MD 20636

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 Youngsik Moon, M.D., P.A.'s NPI number?

The NPI number for Youngsik Moon, M.D., P.A. is 1831203215. It was assigned to this organization in the NPPES registry on August 19, 2006. The provider is doing business as Hollywood Ambulatory Surgery Center.

Where is Youngsik Moon, M.D., P.A. located?

Youngsik Moon, M.D., P.A. is located at 24435 Mervell Dean Rd, Hollywood, MD 20636. The listed phone number is (301) 373-2116.

What is Youngsik Moon, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Youngsik Moon, M.D., P.A. was last updated on August 22, 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.