Blink Acupuncture Wellness Clinic PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00082600 Issued in NJ

Legal business name

BLINK ACUPUNCTURE WELLNESS CLINIC PC

Practice address

6 Sylvan Ave Ste C
Englewood Cliffs, NJ 07632-2432

Phone

(201) 937-1551

NPI assigned

Feb 21, 2014

Organization subpart

No

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

Authorized official

Name

Sung M Jung

Title

Owner

Phone

(201) 937-1551

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sung Mun Jung, L.AC

  • Acupuncturist
  • Englewood Cliffs, NJ
  • NPI 1972804128
  NPD (past)

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1104241538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SYLVAN AVE STE C",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SYLVAN AVE STE C",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322432",
            "telephone_number": "201-937-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLINK ACUPUNCTURE WELLNESS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-937-1551"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00082600",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00056500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.