Daejoong Kim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

002704 Issued in NY

Practice address

8 S Madison Ave
Spring Valley, NY 10977-5538

Phone

(845) 519-5049

NPI assigned

Feb 27, 2007

Sex

Male

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

Practice roles

Locations

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.

• Aiden Acupuncture PC

  • Acupuncturist
  • Spring Valley, NY
  • NPI 1639781370
  NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1265569420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WALKER AVE",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242831",
            "telephone_number": "845-519-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MADISON AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775538",
            "telephone_number": "845-519-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAEJOONG",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yefim Khanimov, DDS
• Roopa Khurana, MD
• Kids First Services
• Kids First Services Inc
• Ann Kiernan, RPH
• Sang Yoon Kim, D.M.D.
• Youngah Kim
• Kinder Smiles Dental PC
• Soraya Kistoo
• Bracha Kivelevitz, RN

• Acupuncturist in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.