SANDRA MOON (NPI# 1063763365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063763365 |
| Entity Type | Individual |
| Full Name | SANDRA MOON |
| Credential | CRNA |
| Practice Address |
1 Gustave L Levy Pl Anesthesiology - Box 1010 New York NY 10029-6500 |
| Mailing Address |
Po Box 12023 Newark NJ 07101-5023 |
| Practice Telephone | 8006274470 |
| Practice Fax Number | 4129375710 |
| Mailing Telephone | 2124272666 |
| Mailing Fax Number | 2122896929 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 569282 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893322 | Sandra Moon | Licensed Practical Nurse | 2296 Torch Lake Dr, Forney, TX 75126-0877 | 2020-05-28 |
| 1689059016 | Sandra Moon | Nurse Practitioner | 3810 Wilshire Blvd Apt 2211, #2211, Los Angeles, CA 90010-3230 | 2015-07-27 |
| 1093883860 | Sandra Moon | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-12-01 |
| Street Address |
1 GUSTAVE L LEVY PL ANESTHESIOLOGY - BOX 1010 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900671 | Carl Anthony Kirton | Nurse Practitioner | 1 Gustave L Levy Pl, New York, NY 10029-6500 | 2005-05-24 |
| 1346840022 | Anne M Haran | Nurse Practitioner | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2020-10-30 |
| 1700486412 | Maria Victoria Rivera | Social Worker | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2020-10-30 |
| 1881294791 | Sarah J Miller | Psychologist | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2020-10-29 |
| 1720688047 | Kendy Rodriguez | Nurse Practitioner | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2020-10-27 |
| 1295334837 | Stephanie Claire Macalintal | Social Worker | 1 Gustave L Levy Pl, New York, NY 10029 | 2020-10-24 |
| 1902405541 | Estela Carolina Castillo | Nurse Practitioner | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2020-10-24 |
| 1790384311 | Adina Heckelman | Social Worker | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2020-10-23 |
| 1962001248 | Caroline Sorota | Social Worker | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2020-10-19 |
| 1992303705 | Linda Margot Sobers | Registered Nurse | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2020-10-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023591286 | Hans K Hoogs | Nurse Anesthetist, Certified Registered | 550 1st Ave Dept Of, New York, NY 10016-6402 | 2018-09-12 |
| 1235622572 | Kathleen T Hipp | Nurse Anesthetist, Certified Registered | Nyu Langone Health Tisch Hospital, 550 First Avenue, New York, NY 10016 | 2018-06-12 |
| 1568953149 | Michelle Ng | Nurse Anesthetist, Certified Registered | 550 1st Ave Fl 5, New York, NY 10016-6402 | 2018-05-19 |
| 1407390081 | Santiago Mercado | Nurse Anesthetist, Certified Registered | 53 Hamilton Ter Apt 35, New York, NY 10031-6437 | 2016-12-15 |
| 1144778630 | Andrew Smith | Nurse Anesthetist, Certified Registered | 622 West 168th Street, New York, NY 10032 | 2016-09-14 |
| 1598114738 | Kent Haina Jr. | Nurse Anesthetist, Certified Registered | 133 Seaman Ave Apt 5a, New York, NY 10034 | 2016-06-08 |
| 1790133874 | Aliza Rosenblum Wolfe | Nurse Anesthetist, Certified Registered | 88 Bleecker St, Apt 3j, New York, NY 10012-1544 | 2016-05-30 |
| 1346603115 | Melissa Fields | Nurse Anesthetist, Certified Registered | 309 W 30th St, 2e, New York, NY 10001-2700 | 2016-03-30 |
| 1184081010 | Zachary Lewter | Nurse Anesthetist, Certified Registered | 265 E 66th St Apt 6d, New York, NY 10065-6405 | 2016-01-22 |
| 1144608258 | Bryce Wyndham Gregg | Nurse Anesthetist, Certified Registered | 132 Crosby St, Apt 11e, New York, NY 10012-3351 | 2015-05-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.