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

Sooyeng Moore

Individual provider Certified Registered Nurse Anesthetist · NPI 1043443112

Sooyeng Moore is a Certified Registered Nurse Anesthetist (CRNA) in New York, New York. Qualified in 2009, 17 years ago. Practices with Memorial Anesthesiology Group, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
17
Licensed in
NY, PA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

1275 York Ave
New York, NY 10021
Phone: (212) 639-8017
Fax: (212) 772-8646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 — (610) 402-8000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 562267-1 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN678216 (PA)

Record details

NPI number1043443112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2009
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Memorial Anesthesiology Group — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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