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

Sandra Moon, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1063763365

Sandra Moon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in New York, New York. Graduated from Columbia University College of Physicians and Surgeons in 2012, 14 years ago. Practices with Fpa Hospital Based, a 422-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2012
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (800) 627-4470
Fax: (412) 937-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 569282 (NY)

Record details

NPI number1063763365
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 26, 2012
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2012 (14 years in practice)
Group practice Fpa Hospital Based — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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