Newark Acupucnture Wellness PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00097300 Issued in NJ

Legal business name

NEWARK ACUPUCNTURE WELLNESS PC

Practice address

60 Park PL Ste 402
Newark, NJ 07102-5513

Phone

(201) 937-1551

Fax

(646) 478-9778

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Sungmun Jung

Title

Lac

Phone

(201) 937-1551

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1083083828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PARK PL STE 402",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025513",
            "telephone_number": "201-937-1551",
            "fax_number": "646-478-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PARK PL STE 402",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025513",
            "telephone_number": "201-937-1551",
            "fax_number": "646-478-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK ACUPUCNTURE WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SUNGMUN",
        "authorized_official_title_or_position": "LAC",
        "authorized_official_telephone_number": "201-937-1551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00097300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Newark, NJ
• Providers in Newark, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.