Individual provider Active NPI

Sungwoong Ha, LAC

  • Acupuncturist
  • Little Neck, NY
National Provider Identifier
1114634425
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
6485 Issued in NY
Practice address
24825 Northern Blvd Ste 2B
Little Neck, NY 11362-1280
Phone
(347) 379-3756
NPI assigned
Nov 4, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00144400 NJ
Acupuncturist 171100000X 6485 NY Primary

Addresses

Primary practice location

24825 Northern Blvd Ste 2B
Little Neck, NY 11362-1280

Mailing address

24825 Northern Blvd Ste 2B
Little Neck, NY 11362-1280
Phone (347) 379-3756

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

LicenseStateTypeSpecialty
25MZ00144400NJMDAcupuncturist
6485NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acuone Acupuncture P.C. Acupuncturist Current Accepting new patients
Long Island Acupuncture P.C. Acupuncturist Current Accepting new patients
Northern Acupuncture, P.C. Acupuncturist Current Accepting new patients

Locations

24825 Northern Blvd
Ste 2B
Little Neck, NY 11362
Phone (347) 235-4742

Organizations & group practices 3

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1114634425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24825 NORTHERN BLVD STE 2B",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621280",
            "telephone_number": "347-379-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24825 NORTHERN BLVD STE 2B",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621280",
            "telephone_number": "347-379-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "SUNGWOONG",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00144400",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "6485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.