Organization Active NPI

Dong E Acupuncture LLC

Doing business as Acupuncture Clinic NJ

  • Pain Clinic/Center
  • Kendall Park, NJ
National Provider Identifier
1073097713
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
DONG E ACUPUNCTURE LLC
Doing business as
Acupuncture Clinic NJ
Practice address
80 Henderson Rd
Kendall Park, NJ 08824-1509
Phone
(732) 422-7101
NPI assigned
Sep 19, 2018
Last updated
Sep 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Dr. Brandon Yoon, ACUPUNCTURISTNPI 1073724878
Title
Managing Member
Phone
(732) 422-7101

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

80 Henderson Rd
Kendall Park, NJ 08824-1509

Mailing address

80 Henderson Rd
Kendall Park, NJ 08824-1509
Phone (732) 422-7101

Other identifiers 1

IdentifierTypeStateIssuer
1073724878MedicaidNJ

Other names 1

  • Acupuncture Clinic NJ Doing business as

National Provider Directory

National Provider Directory

Locations

80 Henderson Rd
Kendall Park, NJ 08824
Phone (732) 422-7101

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": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1073097713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HENDERSON RD",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241509",
            "telephone_number": "732-422-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HENDERSON RD",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241509",
            "telephone_number": "732-422-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG E ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-422-7101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073724878",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acupuncture Clinic NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.