Active NPI
Kyewon Ahn
- Acupuncturist
- Englewood Cliffs, NJ
National Provider Identifier
1215251582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00069100
- Practice address
- 701 E Palisade Ave
Suite 201
Englewood Cliffs, NJ 07632-3055 - Phone
- (201) 408-5700
- NPI assigned
- Mar 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00069100 | NJ | Primary |
Addresses
Primary practice location
701 E Palisade Ave
Suite 201
Englewood Cliffs, NJ 07632-3055
Mailing address
720 E Palisade Ave Ste 106
Englewood Cliffs, NJ 07632-3054
Phone (201) 408-5700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00069100 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Acupuncture PC | Acupuncturist | Past | Accepting new patients |
| Queen Herb Acupuncture PC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Acupuncturist
- Englewood Cliffs, NJ
- NPI 1205492071
-
- Acupuncturist
- Englewood Cliffs, NJ
- NPI 1588225700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1215251582",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E PALISADE AVE",
"address_2": "SUITE 201",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076323055",
"telephone_number": "201-408-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "KYEWON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-16",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00069100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
- Advanced Dental Specialty Group
- Advanced Gastroenterology of Bergen County, P.a.
- Advanced Gastroenterology of Bergen County, P.a.
- Advanced Medical Imaging Professionals LLC
- Advanedge Hand and Physical Therapy, LLC
- Shahida Akbar, PT
- All the Pain Acupuncture LLC
- All Women OBGYN Associates
- Alpine Pain & Rehabilitation PC
- Rami George Alrabaa, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.