Ann Kim, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00175500 Issued in NJ

Practice address

190 Christopher Columbus Dr Ste 3a
Jersey City, NJ 07302-3432

Phone

(201) 724-3998

NPI assigned

Feb 28, 2025

Last updated

Feb 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1215734884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 QUEEN ANNE RD APT 401",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031817",
            "telephone_number": "678-717-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CHRISTOPHER COLUMBUS DR STE 3A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023432",
            "telephone_number": "201-724-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00175500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Bano Khawaja, MD
• Ki in Song MD PA
• Naomi Kihwaga, NP-C/FNP-BC
• Hilweh Suzy Kiki, MSW, LSW
• Anderson Kim, O.D.
• Austin Jaehyun Kim, MD
• Byung Seok Kim
• Deok Yong Kim
• Elissa Kim, PHARM.D
• Gi Nam Kim, DDS

• Acupuncturist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.