Individual provider Active NPI

Brandon Yoon, LAC

  • Acupuncturist
  • Kendall Park, NJ
National Provider Identifier
1073724878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00051000 Issued in NJ
Practice address
80 Henderson Rd
Kendall Park, NJ 08824
Phone
(732) 422-7101
Fax
(732) 422-7101
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00051000 NJ Primary

Addresses

Primary practice location

80 Henderson Rd
Kendall Park, NJ 08824

Mailing address

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

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00051000NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dong E Acupuncture LLC CurrentSince Mar 28, 2025 Accepting new patients

Locations

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073724878",
    "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": "08824",
            "telephone_number": "732-422-7101",
            "fax_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": "08824",
            "telephone_number": "732-422-7101",
            "fax_number": "732-422-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00051000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.