Jieru Sun, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00093800 Issued in NJ

Practice address

252 Bridge St BLDG G
Metuchen, NJ 08840-2294

Phone

(646) 705-7868

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Traditional Chinese Acupuncture and Wellness Center

  • Acupuncturist
  • Raritain, NJ
  • NPI 1154955912
  NPD

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1326394115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 BRIDGE ST BLDG G",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402294",
            "telephone_number": "646-705-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 BRIDGE ST BLDG G",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402294",
            "telephone_number": "646-705-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "JIERU",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004851",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00093800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Carl Stivers, D.C., C.C.S.P.
• Kimberly Anne Stolow, LCSW
• Suk Ghong'S Podiatry P.C
• Megan Boylan Sullivan, LPC,LCADC
• Sun Orthopaedic and Spine Care LLC
• T Dental PC
• Amy L Tarr, LCSW
• Lynn S. Taska, PH.D.
• Matthew Gabriele Taurone
• Taxi & Limousine One, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.