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

Q: 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.

Q: What is Taewha Moon's specialty?

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

Q: 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.

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: August 16, 2026.

On this page

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

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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 Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

What insurance does Taewha Moon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 2 other insurers 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.