MOON JU BAE NPI 1912484627

NPI Information

  • NPI: 1912484627
  • Provider Name: MOON JU BAE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2015 GRAND CONCOURSE
    BRONX, NY
    ZIP 10453
  • Phone: (718) 299-7295

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NPI Details

Moon Ju Bae is a family nurse practitioner in Bronx, NY. Moon Ju Bae NPI is 1912484627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2015 GRAND CONCOURSE
BRONX, NY
ZIP 10453-303
Phone: (718) 299-7295
Fax: (718) 299-6797

The NPI 1912484627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)

The enumeration date for this NPI number is 7/25/2018 and was last updated on 7/25/2018.

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
1363LF0000XNurse PractitionerFamilyF343116NEW YORKYes

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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