Active NPI
Hanul Jung, PTA, L.AC
- Acupuncturist
- Silver Spring, MD
National Provider Identifier
1023399755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U02656
- Practice address
- 14428 Homecrest Rd
Silver Spring, MD 20906-1820 - Phone
- (240) 506-6549
- NPI assigned
- Sep 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121000988 | VA | |
| Physical Therapy Assistant | 225200000X | 2306603843 | VA | |
| Physical Therapy Assistant | 225200000X | A3686 | MD | |
| Massage Therapist | 225700000X | 0019018448 | VA | |
| Acupuncturist | 171100000X | U02656 | MD | Primary |
Addresses
Primary practice location
14428 Homecrest Rd
Silver Spring, MD 20906-1820
Mailing address
14428 Homecrest Rd
Silver Spring, MD 20906-1820
Phone (240) 506-6549
Other practice location 1
4409 E West Hwy
Riverdale, MD 20737-1058
Phone (301) 985-3221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U02656 | Other | MD | DHMH |
| A3686 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0121000988 | VA | MD | Acupuncturist |
| A3686 | MD | MD | Physical Therapy Assistant |
| 2306603843 | VA | MD | Physical Therapy Assistant |
| 0019018448 | VA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holystick,LLC | Current | Accepting new patients | |
| Holystick,LLC | Acupuncturist | Current | Accepting new patients |
Locations
15200 Shady Grove Rd
Ste 103
Rockville, MD 20850
Phone (240) 945-8525
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Rockville, MD
- NPI 1255960944
-
- Psychiatric/Mental Health Nurse Practitioner
- Fairfax, VA
- NPI 1619506300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1023399755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14428 HOMECREST RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209061820",
"telephone_number": "240-506-6549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14428 HOMECREST RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209061820",
"telephone_number": "240-506-6549"
}
],
"practiceLocations": [
{
"address_1": "4409 E West Hwy",
"address_purpose": "LOCATION",
"city": "Riverdale",
"state": "MD",
"postal_code": "207371058",
"country_code": "US",
"telephone_number": "301-985-3221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNG",
"first_name": "HANUL",
"credential": "PTA, L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000988",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306603843",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A3686",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019018448",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHMH",
"identifier": "U02656",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A3686",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.