Active NPI
Minseong Kim
- Acupuncturist
- Edgewater, NJ
National Provider Identifier
1316282916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00095400
- Practice address
- 725 River Rd Ste 117
Edgewater, NJ 07020-1170 - Phone
- (201) 945-2828
- NPI assigned
- Dec 7, 2012
- Last updated
- Mar 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00095400 | NJ | Primary |
Addresses
Primary practice location
725 River Rd Ste 117
Edgewater, NJ 07020-1170
Mailing address
725 River Rd Ste 117
Edgewater, NJ 07020-1170
Phone (120) 194-5282
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00095400 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Top Wellness Center | Acupuncturist | Current | Accepting new patients |
Locations
725 River Rd
Ste 117
Edgewater, NJ 07020
Phone (201) 945-2828
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1316282916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 RIVER RD STE 117",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201170",
"telephone_number": "120-194-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVER RD STE 117",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201170",
"telephone_number": "201-945-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MINSEONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-07",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00095400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.