Active NPI
Ho Jung Song
- Acupuncturist
- Fort Lee, NJ
National Provider Identifier
1235306572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ200002500
- Practice address
- 2121 Lemoine Ave
Suite B
Fort Lee, NJ 07024-6001 - Phone
- (201) 585-5359
- Fax
- (201) 585-1492
- NPI assigned
- May 15, 2008
- 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 | 25MZ200002500 | NJ | Primary |
Addresses
Primary practice location
2121 Lemoine Ave
Suite B
Fort Lee, NJ 07024-6001
Mailing address
2121 Lemoine Ave
Suite B
Fort Lee, NJ 07024-6001
Phone (201) 585-5359
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 |
|---|---|---|---|
| 25MZ200002500 | NJ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1235306572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 LEMOINE AVE",
"address_2": "SUITE B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246001",
"telephone_number": "201-585-5359",
"fax_number": "201-585-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 LEMOINE AVE",
"address_2": "SUITE B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246001",
"telephone_number": "201-585-5359",
"fax_number": "201-585-1492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "HO JUNG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-15",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ200002500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.