Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jsm Wellness NP in Acute Care PC

Organization Acute Care Nurse Practitioner · NPI 1255137592

Jsm Wellness NP in Acute Care PC is an Acute Care Nurse Practitioner in Stony Brook, New York. Registered with an NPI since 2025.

In the registry since
2025
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

215 Hallock Rd Ste 6A
Stony Brook, NY 11790-3077
Phone: (917) 563-1824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X

Record details

NPI number1255137592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ji Soo Moon — President · (917) 945-2497
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address215 Hallock Rd Ste 6a, Stony Brook, NY 11790-3077

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