Organization Active NPI

Ke Jin's Acupuncture & Herbal Clinic

  • Acupuncturist
  • Clifton, NJ
National Provider Identifier
1053768598
Registry record updated Dec 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00122100 Issued in NJ
Legal business name
KE JIN'S ACUPUNCTURE & HERBAL CLINIC
Practice address
1187 Main Ave
Suite 1C
Clifton, NJ 07011-2252
Phone
(732) 823-7219
NPI assigned
May 14, 2016
Last updated
Dec 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2016

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

Authorized official

Name
Ke Jin, LACNPI 1619207271
Title
Lac
Phone
(732) 823-7219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 25MZ00071100 NJ
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 25MZ00108600 NJ
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 25MZ00104000 NJ
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 25MZ00106400 NJ
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 25MZ00110700 NJ
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 25MZ00122100 NJ Primary

Addresses

Primary practice location

1187 Main Ave
Suite 1C
Clifton, NJ 07011-2252

Mailing address

275 E Mount Pleasant Ave
Livingston, NJ 07039-3210
Phone (732) 823-7219

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481328000000",
    "number": "1053768598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E MOUNT PLEASANT AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393210",
            "telephone_number": "732-823-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 MAIN AVE",
            "address_2": "SUITE 1C",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112252",
            "telephone_number": "732-823-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KE JIN'S ACUPUNCTURE & HERBAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-14",
        "last_updated": "2016-12-10",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "KE",
        "authorized_official_title_or_position": "LAC",
        "authorized_official_telephone_number": "732-823-7219",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00071100",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00108600",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00104000",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00106400",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00110700",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00122100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.