Organization Active NPI

Queen Herb Acupuncture PC

  • Acupuncturist
  • Englewood Cliffs, NJ
National Provider Identifier
1205492071
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
QUEEN HERB ACUPUNCTURE PC
Practice address
720 E Palisade Ave Ste 106
Englewood Cliffs, NJ 07632-3054
Phone
(201) 408-5700
Fax
(201) 731-3045
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Kyewon AhnNPI 1215251582
Title
Owner
Phone
(201) 408-5700

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 MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

720 E Palisade Ave Ste 106
Englewood Cliffs, NJ 07632-3054

Mailing address

720 E Palisade Ave Ste 106
Englewood Cliffs, NJ 07632-3054
Phone (201) 408-5700

National Provider Directory

National Provider Directory

Locations

720 E Palisade Ave
Ste 106
Englewood Cliffs, NJ 07632
Phone (201) 250-6812

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1205492071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E PALISADE AVE STE 106",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323054",
            "telephone_number": "201-408-5700",
            "fax_number": "201-731-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E PALISADE AVE STE 106",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323054",
            "telephone_number": "201-408-5700",
            "fax_number": "201-731-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN HERB ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "KYEWON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-408-5700"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 May 16, 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.