Individual provider Active NPI

Hyungwook Kim, L.AC

  • Acupuncturist
  • Elizabeth, NJ
National Provider Identifier
1194044255
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00060600 Issued in NJ
Practice address
426 Morris Ave
Elizabeth, NJ 07208-3609
Phone
(212) 729-3785
Fax
(973) 404-8803
NPI assigned
May 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00060600 NJ Primary

Addresses

Primary practice location

426 Morris Ave
Elizabeth, NJ 07208-3609

Mailing address

426 Morris Ave
Elizabeth, NJ 07208-3609
Phone (212) 729-3785

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
25MZ00060600NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Qi Acupuncture LLC Acupuncturist Current Accepting new patients

Locations

426 Morris Ave
Elizabeth, NJ 07208
Phone (908) 289-5336

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1194044255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083609",
            "telephone_number": "212-729-3785",
            "fax_number": "973-404-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083609",
            "telephone_number": "212-729-3785",
            "fax_number": "973-404-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNGWOOK",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00060600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.