Active NPI
Nanum Acupuncture PC
- Acupuncturist
- New Hyde Park, NY
National Provider Identifier
1083144695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005973-1
- Legal business name
- NANUM ACUPUNCTURE PC
- Practice address
- 516 Lakeville Rd
New Hyde Park, NY 11040-3006 - Phone
- (347) 237-7564
- NPI assigned
- Jun 15, 2017
- 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
- Jang Heon Cho, L.AC
- Title
- Acupuncturist
- Phone
- (347) 237-7564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005973-1 | NY | Primary |
Addresses
Primary practice location
516 Lakeville Rd
New Hyde Park, NY 11040-3006
Mailing address
6325 Marathon Pkwy
Little Neck, NY 11362-2338
Phone (347) 237-7564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851835342 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606262400000",
"number": "1083144695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 MARATHON PKWY",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622338",
"telephone_number": "347-237-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 LAKEVILLE RD",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110403006",
"telephone_number": "347-237-7564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANUM ACUPUNCTURE PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-15",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A",
"authorized_official_last_name": "CHO",
"authorized_official_first_name": "JANG HEON",
"authorized_official_title_or_position": "ACUPUNCTURIST",
"authorized_official_telephone_number": "347-237-7564",
"authorized_official_credential": "L.AC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NY",
"license": "005973-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851835342",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.