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KYOUNG JA MOON M.D.
NPI 1831259878
Anesthesiology in Staten Island, NY

Active since December 11, 2006PECOS Enrolled
1050 FOREST HILL RD, STATEN ISLAND, NY 10314(718) 494-5312(718) 494-2258 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyoung Ja Moon M.d. NPPES

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

KYOUNG JA MOON M.D. (NPI 1831259878) is an individual anesthesiology provider in Staten Island, New York, licensed in New York (125640-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831259878
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKYOUNG JA MOONCredential: M.D.
Location Address1050 FOREST HILL RDStaten Island, NY 10314-6356
Mailing Address1050 Forest Hill RdStaten Island, NY 10314-6356 · (718) 494-5312 · Fax (718) 494-2258
Phone(718) 494-5312
Fax(718) 494-2258
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateMay 2, 2008
✔ NPI 1831259878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 125640-1
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1050 FOREST HILL RD, Staten Island, NY 10314
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Other Identifiers 3

Medicare PIN85I061NY
Medicaid00247310NY
Medicare UPIND39042NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyoung Ja Moon M.d. 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.

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.

IRA L COHEN
Psychologist (Clinical)
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5181
MS. YINGYI LIAO
Registered Nurse
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5159
KAREN B AMBLE LMSW
Social Worker (Clinical)
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5126
INSTITTUE FOR BASIC RESEARCH (NYS OPWDD)
Early Intervention Provider Agency
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5117
SETH A ADELMAN M.D.
Psychiatry & Neurology (Neurology)
1050 FOREST HILL RD, GEORGE JERVIS CLINIC
STATEN ISLAND, NY 10314
Richmond County (718) 494-5180
NANCY ZELLERS MS
Genetic Counselor, MS
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5369
DR. DARLYNNE ADA DEVENNY PHD
Speech-Language Pathologist
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5325
VICKI SUDHALTER PH.D.
Psychologist (Clinical)
1050 FOREST HILL RD
STATEN ISLAND, NY 10314
Richmond County (718) 494-5182

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 Kyoung Moon's NPI number?

The NPI number for Kyoung Moon is 1831259878. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Kyoung Moon located?

Kyoung Moon practices at 1050 Forest Hill Rd, Staten Island, NY 10314. The listed phone number is (718) 494-5312.

What is Kyoung Moon's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kyoung Moon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kyoung Moon was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.