Organization Active NPI

Mind Body Health, LLC

  • Acupuncturist
  • Ho Ho Kus, NJ
National Provider Identifier
1306228820
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MIND BODY HEALTH, LLC
Practice address
18 Sycamore Ave
Suite 2
Ho Ho Kus, NJ 07423-1582
Phone
(201) 857-0888
NPI assigned
Jun 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dong Jin Kim, DIPL OM, LAC
Title
Acupuncturist
Phone
(201) 857-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

18 Sycamore Ave
Suite 2
Ho Ho Kus, NJ 07423-1582

Mailing address

18 Sycamore Ave
Suite 2
Ho Ho Kus, NJ 07423-1582
Phone (201) 857-0888

Other names 1

  • Don Kim Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

18 Sycamore Ave
Ste 2
Ho Ho Kus, NJ 07423
Phone (201) 394-2319

NPI Registry JSON

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1306228820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE",
            "address_2": "SUITE 2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231582",
            "telephone_number": "201-857-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE",
            "address_2": "SUITE 2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231582",
            "telephone_number": "201-857-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-20",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONG JIN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "201-857-0888",
        "authorized_official_credential": "DIPL OM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Don Kim Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ho Ho Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.