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

Hyesim Moon, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1689156689

Hyesim Moon, NURSEPRACTITIONER is a Nurse Practitioner in Palisades Park, New Jersey. Qualified in 2017, 9 years ago. Practices with Hudson MD Group, a 108-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
9
Licensed in
NJ, NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

7 Broad Ave Ste 203
Palisades Park, NJ 07650-1886
Phone: (201) 941-2486
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19132 Northern Blvd, Flushing, NY 11358-2829 — (718) 762-7000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15024700 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F343308-1 (NY)

Record details

NPI number1689156689
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 5, 2018
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hudson Md Group — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Palisades Park