Active NPI
Joanne Kim, DACM
- Acupuncturist
- Union, NJ
National Provider Identifier
1104551373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00160600
- Practice address
- 1225 Stuyvesant Ave
Union, NJ 07083-3837 - Phone
- (908) 774-1586
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00160600 | NJ | Primary |
Addresses
Primary practice location
1225 Stuyvesant Ave
Union, NJ 07083-3837
Mailing address
501 2ND St FL 1
Palisades Park, NJ 07650-1801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00160600 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed PT LLC | Acupuncturist | Current | Accepting new patients |
Locations
266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798
1225 Stuyvesant Ave
Union, NJ 07083
Phone (908) 357-1655
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659830400000",
"number": "1104551373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 2ND ST FL 1",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076501801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 STUYVESANT AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070833837",
"telephone_number": "908-774-1586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOANNE",
"credential": "DACM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2022-08-07",
"certification_date": "2022-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00160600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.