Active NPI
Chong Koo Kim, ACUPUNCTURIST
- Acupuncturist
- Palisades Park, NJ
National Provider Identifier
1063997013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 5297
- Practice address
- 420 Highland Ave Apt 10
Palisades Park, NJ 07650-1384 - Phone
- (201) 274-3323
- NPI assigned
- Sep 26, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 5297 | NY | Primary |
Addresses
Primary practice location
420 Highland Ave Apt 10
Palisades Park, NJ 07650-1384
Mailing address
420 Highland Ave Apt 10
Palisades Park, NJ 07650-1384
Phone (201) 274-3323
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5297 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Spirit Acupuncture P.C | Acupuncturist | Current | Accepting new patients |
| Body Spirit Acupuncture P.C | Acupuncturist | Current | Accepting new patients |
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
- New York, NY
- NPI 1033896279
-
- Acupuncturist
- New York, NY
- NPI 1881524171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1063997013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 HIGHLAND AVE APT 10",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076501384",
"telephone_number": "201-274-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 HIGHLAND AVE APT 10",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076501384",
"telephone_number": "201-274-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHONG",
"middle_name": "KOO",
"name_prefix": "Mr.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "5297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palisades Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.