Provider Profile

Ji Soo Moon, AG-ACNP

Unclaimed Profile

About Ji Soo Moon

Ji Soo Moon, AG-ACNP is a nurse practitioner — acute care based in Forest Hills, NY. Ji Soo is a 2020 graduate of University of Massachusetts Medical School.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Specialty

Nurse Practitioner — Acute Care (Primary)
Nurse Practitioner — Acute Care (Additional)

Credentials & Licensing

NY licenseF432459-01
MA licenseRN2324806
NPI1043804255
NPI issued02/28/2021

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Ji Soo Moon?

Ji Soo Moon is a nurse practitioner in Forest Hills, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Acute Care”.

NPI registry

What is Ji Soo Moon's address?

Ji Soo Moon is listed at 10201 66Th Rd, Forest Hills, NY 11375. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Ji Soo Moon?

The number on file is (718) 830-4000. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Ji Soo Moon?

Ji Soo Moon's National Provider Identifier is 1043804255. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Ji Soo Moon train?

Ji Soo Moon attended University of Massachusetts Medical School, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Ji Soo Moon have?

Ji Soo Moon has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

Is Ji Soo Moon's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Ji Soo Moon. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.