Yittha Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

YITTHA ACUPUNCTURE LLC

Practice address

71 Franklin Tpke Ste 9
Waldwick, NJ 07463-1851

Phone

(201) 320-5522

NPI assigned

Feb 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Sungju ParkNPI 1285984120

Title

Lac/President

Phone

(201) 320-5522

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Sungju Park

  • Acupuncturist
  • Little Ferry, NJ
  • NPI 1285984120
  NPD Authorized official

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1285388975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 FRANKLIN TPKE STE 9",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631851",
            "telephone_number": "201-320-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 FRANKLIN TPKE STE 9",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631851",
            "telephone_number": "201-320-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YITTHA ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2023-10-27",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "SUNGJU",
        "authorized_official_title_or_position": "LAC/PRESIDENT",
        "authorized_official_telephone_number": "201-320-5522",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimie Lynn Washofer, OTR
• Waypoint Psychological Services
• Aubrey Anne Webb
• Catherine Jane Wei, M.D., PH.D.
• Tracey Weiss, LCSW
• Tal Yonai, PH.D.
• Hyon K Yoo, D.D.S.
• Raymond M Younghans, P.T.
• Julie Yu, PHARM.D
• Evgeni Yuz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.