Christi Jin, PH.D., O.M.D., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00060500 Issued in NJ

Practice address

444 Market St
Suite 5
Saddle Brook, NJ 07663-5996

Phone

(201) 952-0063

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Chunyu Jin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1093969925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 THE PROMENADE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202122",
            "telephone_number": "201-952-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MARKET ST",
            "address_2": "SUITE 5",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635996",
            "telephone_number": "201-952-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "CHRISTI",
        "name_prefix": "Dr.",
        "credential": "PH.D., O.M.D., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003670",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00060500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUNYU",
            "last_name": "JIN",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter G Ilowite, D.O.
• Interim Healthcare of Saddle Brook, Inc.
• Eun Jeong Jang
• Allison Mary Jaworski
• JCJ Physical Therapy, LLC
• John R. Mully D.M.D., P.a.
• Devone-Marquis L Johnson
• Tina Kadehjian, PT
• Hyun Jung Kang, L.AC.
• Samantha Kaoutarani, NP

• Acupuncturist in Saddle Brook, NJ
• Providers in Saddle Brook, 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 7, 2012; 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.