Ji Soo Moon, Agacnp
- Part D claims, 2024
- 80
- MIPS score, 2024
- 100
- Industry payments
- $150
- Affiliated sites
- 4
- Medical groups
- 2
- Practice address
- 1991 Marcus Avenue, Lake Success, NY 11042
- Practice phone
- Call (317) 796-7565
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
New Hyde Park Endoscopy
Surgery Center - Medicare-Certified · Lake Success, New York
Find Ji Soo Moon's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Ji Soo Moon is an acute care nurse practitioner in New Hyde Park, New York
Ji Soo Moon practices at New Hyde Park Endoscopy in Lake Success, New York.
Ji Soo Moon's NPI, 1043804255, was assigned on February 28, 2021. Ji Soo Moon graduated from University of Massachusetts Medical School in 2020. Ji Soo Moon holds New York license F432459-01.
- NPI
- 1043804255NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4284034943
- NPI enumeration date
- February 28, 2021
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (317) 796-7565
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 32
- Medical school graduation
- 2020
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Ji Soo Moon practices at New Hyde Park Endoscopy in Lake Success, New York
Ji Soo Moon's primary practice is New Hyde Park Endoscopy, at 1991 Marcus Avenue, Lake Success, NY 11042. The practice phone is (317) 796-7565.
- New Hyde Park Endoscopy1991 Marcus Avenue, Lake Success, NY 11042Phone(317) 796-7565
Source: Dmand AI Affiliation Data
Ji Soo Moon is affiliated with 4 sites of care and 2 medical groups
Ji Soo Moon's primary practice is New Hyde Park Endoscopy in Lake Success, New York. The medical group on file is Northwell Health Physician Partners Cardiology at Great Neck. Dmand AI also links Ji Soo Moon to 2 more group practices and clinics, 1 physician office and 1 medical group, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Ji Soo Moon's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Ji Soo Moon practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| New Hyde Park Endoscopy | Available with a free account |
| +3 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Ji Soo Moon is one of 1,230 acute care nurse practitioners in New York
Acute care is Ji Soo Moon's primary specialty in the NPI Registry, under taxonomy code 363LA2100X. Dmand AI has Ji Soo Moon's licenses on file in 2 states: New York and Massachusetts.
Specialties and state licenses
- Acute care nurse practitioner, New YorkPrimary
- Massachusetts license
Acute care nurse practitioners near Ji Soo Moon
Counts of acute care nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Ji Soo Moon's patients have a median age of 53
Across all payers, Dmand AI patient panel data puts Ji Soo Moon's median patient age at 53, with 72% women.
Ji Soo Moon's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 53
Patient panel by sex, all payers
- Women72%
- Men26%
Source: Dmand AI Patient Panel Data
Ji Soo Moon wrote 80 Medicare Part D claims in 2024
In 2024, Ji Soo Moon wrote 80 Medicare Part D claims for 47 patients. 88% of them were for generic drugs.
Ji Soo Moon's Part D claims by kind of drug, 2024
- Generic70 claims88%
- Brand-name and other10 claims13%
Drug classes CMS tracks in Ji Soo Moon's Part D claims, 2024
- Opioids41%33 of 80 claims
- Antibiotics41%33 of 80 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
Ji Soo Moon scored 100 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Ji Soo Moon for performance year 2024, reported through an alternative payment model (APM). Ji Soo Moon accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Ji Soo Moon's MIPS scores, performance year 2024
- 100of 100Final score
- 83of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Ji Soo Moon received $150 in industry payments in 2025
CMS Open Payments shows 1 general payment to Ji Soo Moon from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Endo USA, Inc. paid the most, $150.
Companies that paid Ji Soo Moon the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Ji Soo Moon graduated from University of Massachusetts Medical School
Ji Soo Moon graduated from University of Massachusetts Medical School in 2020.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Ji Soo Moon's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Ji Soo Moon
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Ji Soo Moon's NPI number?
Ji Soo Moon's NPI number is 1043804255. It was assigned on February 28, 2021, and it is active in the NPI Registry.
What does Ji Soo Moon specialize in?
Ji Soo Moon is an acute care nurse practitioner in New Hyde Park, New York. The primary specialty in the NPI Registry is Acute Care Nurse Practitioner (taxonomy code 363LA2100X).
Where does Ji Soo Moon practice?
Ji Soo Moon practices at 1991 Marcus Avenue, Lake Success, NY 11042. Ji Soo Moon's primary practice is New Hyde Park Endoscopy in Lake Success, New York. Dmand AI also links Ji Soo Moon to 2 group practices and clinics, 1 physician office and 1 medical group.
What is Ji Soo Moon's office phone number?
The practice phone on file for Ji Soo Moon is (317) 796-7565.
What is Ji Soo Moon's medical license number?
Ji Soo Moon holds New York license F432459-01, one of the licenses on file in 2 states.
Which states has Ji Soo Moon been licensed in?
Dmand AI has state licenses on file for Ji Soo Moon in New York and Massachusetts.
What medical group is Ji Soo Moon part of?
Ji Soo Moon is linked to Northwell Health Physician Partners Cardiology at Great Neck. Dmand AI links Ji Soo Moon to 1 more medical group.
Does Ji Soo Moon accept Medicare?
Yes. CMS lists Ji Soo Moon as accepting Medicare assignment.
What is Ji Soo Moon's MIPS score?
Ji Soo Moon's MIPS final score for performance year 2024 is 100 out of 100, reported through an alternative payment model (APM).
Where did Ji Soo Moon go to medical school?
Ji Soo Moon graduated from University of Massachusetts Medical School in 2020.
Has Ji Soo Moon received payments from drug or device companies?
CMS Open Payments shows $150 in general payments to Ji Soo Moon from 1 company from 2025 to 2025. The largest total came from Endo USA, Inc.
How long has Ji Soo Moon been practicing?
Ji Soo Moon graduated from medical school in 2020, 6 years ago.
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