1. Home
  2. Directory
  3. New Jersey
  4. Palisades Park
  5. Optometrist
  6. NPI Profile

DR. TAEWHA CAROLYN MOON O.D.
NPI 1972603637
Optometrist in Palisades Park, NJ

Active since September 23, 2006PECOS Enrolled
225 BROAD AVE STE 206, PALISADES PARK, NJ 07650(201) 585-1337(201) 585-2998 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Taewha Carolyn Moon O.d. NPPES

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

DR. TAEWHA CAROLYN MOON O.D. (NPI 1972603637) is an individual optometrist in Palisades Park, New Jersey, licensed in New Jersey (270A00465400) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972603637
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. TAEWHA CAROLYN MOONCredential: O.D.
Location Address225 BROAD AVE STE 206Palisades Park, NJ 07650-1590
Mailing Address225 Broad Ave Ste 206Palisades Park, NJ 07650-1590 · (201) 585-1337 · Fax (201) 585-2998
Phone(201) 585-1337
Fax(201) 585-2998
Sole ProprietorYes
Enumeration DateSeptember 23, 2006
Last NPPES UpdateMarch 9, 2017
✔ NPI 1972603637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NJ · 270A00465400
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
225 BROAD AVE STE 206, Palisades Park, NJ 07650
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINY19839
Medicaid5084601NJ
Medicare ID-Type Unspecified084328

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Taewha Carolyn Moon O.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.

Medicare Billing Reassignment

Medicare enrollment records show Taewha Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coopercrwn Nj
Same address
Optometrist
225 BROAD AVE, SUITE#206
Palisades Park, NJ 07650
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1801083050 (201) 585-1337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07650 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Taewha Moon's NPI number?

The NPI number for Taewha Moon is 1972603637. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Taewha Moon located?

Taewha Moon practices at 225 Broad Ave Ste 206, Palisades Park, NJ 07650. The listed phone number is (201) 585-1337.

What is Taewha Moon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Taewha Moon enrolled in Medicare?

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

Which organization bills Medicare for Taewha Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taewha Moon reassigns Medicare benefits to Coopercrwn Nj (Palisades Park, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taewha Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taewha Moon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Taewha Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taewha Moon was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.