Une Ho Song, L.AC. DIPL.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00071400 Issued in NJ

Practice address

133 Hillside Ave
Cresskill, NJ 07626-1634

Phone

(201) 870-1180

NPI assigned

Dec 7, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Acupuncture and Wellness

  • Acupuncturist
  • Cresskill, NJ
  • NPI 1811558166
  NPD Authorized official
• Song Acupower Wellness

  • Acupuncturist
  • Englewood, NJ
  • NPI 1467968552
  NPD Authorized official

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1083942874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 GRAND AVE",
            "address_2": "STE. 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314370",
            "telephone_number": "201-871-8702",
            "fax_number": "210-871-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HILLSIDE AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261634",
            "telephone_number": "201-870-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "UNE",
        "middle_name": "HO",
        "credential": "L.AC. DIPL.O.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00071400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul R Silva, M.D.
• Joy A Simha, LCSW
• Lori Simon, M.D.
• SJV 1 Cresskill Opco LLC
• Bridget Smith, LSW
• Madison Victoria Spina, APN-C
• Sports Medicine Center of Bergen, PA
• Lisa Sternbach, LCSW
• Donna M Strauss-Russo, LCSW
• Rudolph John Streemke III, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.