Seung Jin Choi, ACUPUNCTURIST

Individual provider Active NPI Acupuncturist · Ridgefield, NJ

NPI 1215651302 · NPPES record last updated Oct 3, 2022

Key facts

NPI
1215651302
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
007169 (NY)
Practice address
608 Bergen Blvd
Ridgefield, NJ 07657-2007
Phone
(908) 656-0084
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
007169NYMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist
Group: 193400000X SINGLE SPECIALTY GROUP
171100000X 007169 NY Yes

Addresses

Primary practice location

608 Bergen Blvd
Ridgefield, NJ 07657-2007

Mailing address

608 Bergen Blvd
Ridgefield, NJ 07657-2007
Phone (908) 656-0084

Other providers in Ridgefield, NJ

All providers in Ridgefield, NJ · Acupuncturist in New Jersey

Sources for this page

Verify at the official NPI Registry.