Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Moonlight Pediatrics of Nyc, PC

Organization Pediatrics Physician · NPI 1558714584

Moonlight Pediatrics of Nyc, PC provides Pediatrics Physician services in New York, New York. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 W 25th St
New York, NY 10001-7243 Not confirmed with CMS for 10 years — call before visiting
Phone: (800) 750-8616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1558714584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krystal McKenna — Manager · (845) 362-8400
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 14, 2016
Mailing address26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553

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