Individual provider Active NPI

Steven Yong Ji, LAC

  • Acupuncturist
  • Bronx, NY
National Provider Identifier
1124663448
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006192 Issued in NY
Practice address
2488 Grand Concourse RM 206
Bronx, NY 10458-5207
Phone
(718) 216-8688
NPI assigned
Nov 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006192 NY Primary

Addresses

Primary practice location

2488 Grand Concourse RM 206
Bronx, NY 10458-5207

Mailing address

18 Texas CT
Syosset, NY 11791-3123
Phone (718) 216-8688

Other practice location 1

24349 Merrick Blvd
Rosedale, NY 11422-1459
Phone (718) 216-8688

Other names 1

  • Mr. Yong Suk Ji Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1124663448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 TEXAS CT",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913123",
            "telephone_number": "718-216-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 GRAND CONCOURSE RM 206",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585207",
            "telephone_number": "718-216-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24349 Merrick Blvd",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "NY",
            "postal_code": "114221459",
            "country_code": "US",
            "telephone_number": "718-216-8688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JI",
        "first_name": "STEVEN",
        "middle_name": "YONG",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YONG",
            "last_name": "JI",
            "middle_name": "SUK",
            "prefix": "MR.",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.