Active NPI
Peter H Seo, LAC
- Acupuncturist
- Union City, NJ
National Provider Identifier
1114432184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC17955
- Practice address
- 4706 Bergenline Ave
Union City, NJ 07087-5112 - Phone
- (201) 574-7770
- NPI assigned
- Dec 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00159300 | NJ | |
| Acupuncturist | 171100000X | AC17955 | CA | Primary |
Addresses
Primary practice location
4706 Bergenline Ave
Union City, NJ 07087-5112
Mailing address
4706 Bergenline Ave
Union City, NJ 07087-5112
Phone (201) 574-7770
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 |
|---|---|---|---|
| AC17955 | CA | MD | Acupuncturist |
| 25MZ00159300 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed PT LLC | Acupuncturist | Current | Accepting new patients |
| Metropolitan Wellness Center | Acupuncturist | Past | Accepting new patients |
Locations
572 Inman Ave
Colonia, NJ 07067
Phone (732) 382-7600
Organizations & group practices 2
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.
-
- Acupuncturist
- Los Angeles, CA
- NPI 1700380920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1114432184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4706 BERGENLINE AVE",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070875112",
"telephone_number": "201-574-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4706 BERGENLINE AVE",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070875112",
"telephone_number": "201-574-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEO",
"first_name": "PETER",
"middle_name": "H",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-12",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00159300",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC17955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.