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

Jeffrey Moon, MD

Individual provider Family Medicine Physician · NPI 1104184084

Jeffrey Moon, MD is an Emergency Medicine in Philadelphia, Pennsylvania. Graduated from Rutgers School of Dental Medicine in 2012, 14 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Trained at
Rutgers School of Dental Medicine
Licensed in
PA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Spruce St Ground Ravdin Dept Emergency Medicine
Philadelphia, PA 19104-4238
Phone: (215) 662-6698
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD454800 (PA)

Record details

NPI number1104184084
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2012
Last updated in NPPESJuly 21, 2015

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolRUTGERS SCHOOL OF DENTAL MEDICINE
Graduated 2012 (14 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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