JSM WELLNESS NP IN ACUTE CARE P.C. NPI 1255137592

NPI Information

  • NPI: 1255137592
  • Provider Name: JSM WELLNESS NP IN ACUTE CARE P.C.
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Organization
  • Address: 215 HALLOCK RD STE 6A
    STONY BROOK, NY
    ZIP 11790
  • Phone: (917) 563-1824

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NPI Details

JSM WELLNESS NP IN ACUTE CARE P.C. is an acute care nurse practitioner in Stony Brook, NY. JSM WELLNESS NP IN ACUTE CARE P.C. NPI is 1255137592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 HALLOCK RD STE 6A
STONY BROOK, NY
ZIP 11790-077
Phone: (917) 563-1824

The provider's authorized official is Ji Soo Moon .
The authorized official title is President and has the following contact phone number (917) 945-2497.

The enumeration date for this NPI number is 2/19/2025 and was last updated on 2/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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