Kyoung Moon, MD | |
201 Lyons Ave, Newark, NJ 07112-2027 | |
(201) 943-0034 | |
(201) 943-8105 |
Full Name | Kyoung Moon |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 201 Lyons Ave, Newark, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447220058 | NPI | - | NPPES |
4837703 | Medicaid | NJ | |
D92539 | Other | NJ | UNIVERSAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MA03401700 (New Jersey) | Primary |
Entity Name | American Anesthesiology Of New Jersey Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386654036 PECOS PAC ID: 0042112500 Enrollment ID: O20040123001039 |
Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
Mailing Address | Practice Location Address |
---|---|
Kyoung Moon, MD Po Box 724, Millburn, NJ 07041-0724 Ph: (201) 943-0034 | Kyoung Moon, MD 201 Lyons Ave, Newark, NJ 07112-2027 Ph: (201) 943-0034 |
Dr. Anna Korban, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave # Msbf-611, Newark, NJ 07103 Phone: 973-972-5007 Fax: 973-972-0582 | |
Dr. Deepa Asokan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave, Msb Ste E547, Newark, NJ 07103 Phone: 973-972-5006 | |
Dr. Lawrence Willis Chinn Sr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 856-235-1983 | |
Dr. Da Wang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 185 S Orange Ave Rm E-538, Newark, NJ 07103 Phone: 973-972-0470 | |
Anastasios Fotinos, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-5000 | |
Jose R Chan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 201-943-0034 Fax: 201-943-8105 | |
Bong H Choi, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 155 Jefferson St, Newark, NJ 07105 Phone: 908-490-0036 Fax: 908-490-0067 |