Organization Active NPI

Hana Acupuncture and Herbs, PC

  • Acupuncturist
  • Maplewood, NJ
National Provider Identifier
1265729974
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00019800 Issued in NJ
Legal business name
HANA ACUPUNCTURE AND HERBS, PC
Practice address
2040 Millburn Ave Ste 403
Maplewood, NJ 07040-3716
Phone
(201) 543-4551
Fax
(201) 313-1454
NPI assigned
Jul 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Mr. Sung Jae Hong, LAC
Title
President
Phone
(201) 313-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 25MZ00019800 NJ Primary

Addresses

Primary practice location

2040 Millburn Ave Ste 403
Maplewood, NJ 07040-3716

Mailing address

45 Broad Ave
Palisades Park, NJ 07650-1443
Phone (201) 313-0501

National Provider Directory

National Provider Directory

Locations

2040 Millburn Ave
Ste 403
Maplewood, NJ 07040
Phone (973) 763-1100

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1265729974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BROAD AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501443",
            "telephone_number": "201-313-0501",
            "fax_number": "201-313-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MILLBURN AVE STE 403",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403716",
            "telephone_number": "201-543-4551",
            "fax_number": "201-313-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANA ACUPUNCTURE AND HERBS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-313-0501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00019800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.