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

William Moon, NP

Individual provider Acute Care Nurse Practitioner · NPI 1568155182

William Moon, NP is a Nurse Practitioner in Smithtown, New York. Qualified in 2022, 4 years ago. Practices with Physician Assistant Associate PLLC, a 16-clinician group. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

50 New York Ave # 25A
Smithtown, NY 11787-3448
Phone: (631) 862-3000
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 432542 (NY)

Record details

NPI number1568155182
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 30, 2023
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address57 South Ave, Smithtown, NY 11787-3843

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Physician Assistant Associate Pllc — 16 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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