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

Jane Moon, DO

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1265969174

Jane Moon, DO is a Pulmonary Disease in Stony Brook, New York. Qualified in 2017, 9 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

101 Nicolls Rd Hsc T17-040
Stony Brook, NY 11794-0001
Phone: (631) 873-6663
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 322756 (NY)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 322756 (NY)

Record details

NPI number1265969174
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2017
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023
Mailing address101 Nicolls Rd # T17-040, Stony Brook, NY 11794-0001

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Stony Brook