Koryo Acupuncture PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

KORYO ACUPUNCTURE PC

Practice address

40 1St St
Nanuet, NY 10954-3017

Phone

(845) 587-9537

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Eun Su KimNPI 1619257219

Title

President

Phone

(845) 587-9537

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eunsu Kim, LAC

  • Acupuncturist
  • River Edge, NJ
  • NPI 1619257219
  NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1033801873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JUNE CT",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611823",
            "telephone_number": "201-577-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 1ST ST",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543017",
            "telephone_number": "845-587-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORYO ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUN SU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-587-9537",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knickerbocker Dialysis Inc
• Jennie Marie Koester, R.N.
• Age Kola, LPN
• Justin Konig, MD
• Jeanny S Koo, L.AC.
• Kozin Physical Therapy PLLC
• Stanislav Kozin, DPT
• Barry S Kraushaar, MD
• Lawrence Eric Krawitz, M.D.
• Betty Kui, PA-C

• Acupuncturist in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.