Individual provider Active NPI

Jung Hwan Oh, CA

  • Acupuncturist
  • Englewood Cliffs, NJ
National Provider Identifier
1124318886
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00052400 Issued in NJ
Practice address
464 Hudson Ter
Suite 204
Englewood Cliffs, NJ 07632-2902
Phone
(201) 894-5451
NPI assigned
Apr 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00052400 NJ Primary

Addresses

Primary practice location

464 Hudson Ter
Suite 204
Englewood Cliffs, NJ 07632-2902

Mailing address

464 Hudson Ter
Suite 204
Englewood Cliffs, NJ 07632-2902
Phone (201) 894-5451

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
25MZ00052400NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Acupuncture P.C Acupuncturist Current Accepting new patients

Locations

464 Hudson Ter
Ste 204
Englewood Cliffs, NJ 07632
Phone (201) 567-0005

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": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1124318886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER",
            "address_2": "SUITE 204",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322902",
            "telephone_number": "201-894-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TER",
            "address_2": "SUITE 204",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322902",
            "telephone_number": "201-894-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JUNG",
        "middle_name": "HWAN",
        "name_prefix": "Dr.",
        "credential": "CA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00052400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.