Active NPI
Dong E Acupuncture LLC
Doing business as Acupuncture Clinic NJ
- Pain Clinic/Center
- Kendall Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brandon Yoon, ACUPUNCTURIST
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073724878 | Medicaid | NJ |
Other names 1
- Acupuncture Clinic NJ
National Provider Directory
National Provider DirectoryLocations
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.
-
- Acupuncturist
- Kendall Park, NJ
- NPI 1073724878
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.