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

Fredric Moon, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1104819242

Fredric Moon, DO is an Obstetrics/Gynecology in Mineola, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1994, 32 years ago. Practices with North Shore Medical Group of the Mount Sinai School of Medicine, a 323-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

120 Mineola Blvd Ste 100
Mineola, NY 11501-4073
Phone: (516) 663-3010
Fax: (516) 663-3026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 216307 (NY)

Record details

NPI number1104819242
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESFebruary 9, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1994 (32 years in practice)
Group practice North Shore Medical Group Of The Mount Sinai School Of Medicine — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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