Individual provider Active NPI

Hongsoon Kim

  • Acupuncturist
  • Highland Park, NJ
National Provider Identifier
1316199367
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
MZ00061700 Issued in NJ
Practice address
85 Raritan Ave Ste 430
Highland Park, NJ 08904-2439
Phone
(732) 729-1075
Fax
(732) 342-7355
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X MZ00061700 NJ Primary
Acupuncturist 171100000X 003767 NY

Addresses

Primary practice location

85 Raritan Ave Ste 430
Highland Park, NJ 08904-2439

Mailing address

90 Gaynor PL
Glen Rock, NJ 07452-3622
Phone (201) 445-2844

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
003767NYMDMental Health Counselor
MZ00061700NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Chiropractic & Posture L.L.C. Past Accepting new patients
Kim Hongsoon Acupuncture LLC. Acupuncturist Past Accepting new patients

Organizations & group practices 2

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1316199367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 GAYNOR PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523622",
            "telephone_number": "201-445-2844",
            "fax_number": "201-840-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 RARITAN AVE STE 430",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042439",
            "telephone_number": "732-729-1075",
            "fax_number": "732-342-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HONGSOON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "MZ00061700",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.