Organization Active NPI

Forest Acupuncture & Herb Inc

  • Health Maintenance Organization
  • Newark, NJ
National Provider Identifier
1093049363
Registry record updated Sep 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MZ00045000 Issued in NJ
Legal business name
FOREST ACUPUNCTURE & HERB INC
Practice address
119 Clifford St
#105
Newark, NJ 07105-1908
Phone
(201) 363-0233
NPI assigned
Sep 19, 2009
Last updated
Sep 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2009

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

Authorized official

Name
Jiyong Kim
Title
Owner
Phone
(201) 363-0233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MZ00045000 NJ Primary

Addresses

Primary practice location

119 Clifford St
#105
Newark, NJ 07105-1908

Mailing address

119 Clifford St
#105
Newark, NJ 07105-1908
Phone (201) 363-0233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253318400000",
    "number": "1093049363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CLIFFORD ST",
            "address_2": "#105",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051908",
            "telephone_number": "201-363-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CLIFFORD ST",
            "address_2": "#105",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051908",
            "telephone_number": "201-363-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST ACUPUNCTURE & HERB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-19",
        "last_updated": "2009-09-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIYONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-363-0233"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "MZ00045000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2009; 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.