Organization Active NPI

Sun Jin Acupuncture P.C.

  • Acupuncturist
  • Fresh Meadows, NY
National Provider Identifier
1154838001
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005811 Issued in NY
Legal business name
SUN JIN ACUPUNCTURE P.C.
Practice address
6020B 194TH St Apt 3B
Fresh Meadows, NY 11365-2815
Phone
(917) 214-1632
Fax
(973) 947-2421
NPI assigned
Jan 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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

Authorized official

Name
Mr. Jong M LeeNPI 1811427941
Title
Lac
Phone
(917) 214-1632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 005811 NY Primary

Addresses

Primary practice location

6020B 194TH St Apt 3B
Fresh Meadows, NY 11365-2815

Mailing address

160 Howells Rd Ste 28
Bay Shore, NY 11706-5320
Phone (917) 214-1632

Other names 1

  • SUN JIN ACUPUNCTURE P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

160 Howells Rd
Ste 28
Bay Shore, NY 11706

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757203200000",
    "number": "1154838001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HOWELLS RD STE 28",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065320",
            "telephone_number": "917-214-1632",
            "fax_number": "973-947-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020B 194TH ST APT 3B",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652815",
            "telephone_number": "917-214-1632",
            "fax_number": "973-947-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN JIN ACUPUNCTURE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-01",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LAC",
        "authorized_official_telephone_number": "917-214-1632",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN JIN ACUPUNCTURE P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SUN JIN ACUPUNCTURE P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2025; 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.