Seung Ho Shin, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00079300 Issued in NJ

Practice address

2027 Center Ave
1St Floor
Fort Lee, NJ 07024-4707

Phone

(201) 363-1400

Fax

(201) 363-1401

NPI assigned

Sep 29, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HS Acupuncture and Herbs, LLC

  • Acupuncturist
  • Fort Lee, NJ
  • NPI 1356769038
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1013291731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 CENTER AVE",
            "address_2": "1ST FLOOR",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244707",
            "telephone_number": "201-363-1400",
            "fax_number": "201-363-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 CENTER AVE",
            "address_2": "1ST FLOOR",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244707",
            "telephone_number": "201-363-1400",
            "fax_number": "201-363-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SEUNG",
        "middle_name": "HO",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00079300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jae Hyun Shim, MD
• David Shin
• Hyun Won Shin, D.D.S
• Maria Shin, D.D.S.
• Mira Shin, M.D.
• Tomomi Jasmine Shore
• Randy N. Shreck, PHARMACIST
• Izabela Silva, LSW
• Silverstone Foot and Ankle P.C.
• Arlene Simon

• Acupuncturist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.