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

Moonju Bae

Individual provider Family Nurse Practitioner · NPI 1912484627

Moonju Bae is a Family Nurse Practitioner in Jackson Heights, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

3750 72nd St
Jackson Heights, NY 11372-6143
Phone: (844) 692-4692
Show map & directions

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

Additional practice locations (1)

  • 3-01 27th Ave, Astoria, NY 11102 — (718) 907-1344

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F343116 (NY)

Record details

NPI number1912484627
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2018
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address2213 City Pl, Edgewater, NJ 07020-3155

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