Individual provider Active NPI

Hugh Kim, L.AC.

  • Acupuncturist
  • Shrewsbury, NJ
National Provider Identifier
1235335746
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00053600 Issued in NJ
Practice address
174 Patterson Ave
Shrewsbury, NJ 07702-4177
Phone
(646) 496-7874
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00053600 NJ Primary

Addresses

Primary practice location

174 Patterson Ave
Shrewsbury, NJ 07702-4177

Mailing address

28 Agate Rd
East Brunswick, NJ 08816-1303
Phone (646) 496-7874

Other practice location 1

922 main st.
paterson, NJ 07503
Phone (646) 496-7874

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

LicenseStateTypeSpecialty
25MZ00053600NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Meditree Acupuncture & Herb PC Acupuncturist CurrentSince Feb 9, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1235335746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 AGATE RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161303",
            "telephone_number": "646-496-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 PATTERSON AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024177",
            "telephone_number": "646-496-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "922 main st.",
            "address_purpose": "LOCATION",
            "city": "paterson",
            "state": "NJ",
            "postal_code": "07503",
            "country_code": "US",
            "telephone_number": "646-496-7874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HUGH",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00053600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.