Jung Yoon Back, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00151200 Issued in NJ

Practice address

22-05 Maple Ave
Fair Lawn, NJ 07410-1525

Phone

(201) 981-8810

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ye2 Acupuncture Clinic LLC

  • Acupuncturist
  • Chalfont, PA
  • NPI 1275114233
  NPD (past)

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1336739796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FAIRVIEW AVE",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031808",
            "telephone_number": "201-981-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-05 MAPLE AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101525",
            "telephone_number": "201-981-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "JUNG YOON",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00151200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M Avanesyan, PA-C
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• B&D Smile PC
• Adejoke Abolade Babalola, D.P.M
• Back to Motion, LLC
• Tahany Badah, M.S. CCC-SLP
• Eugene Om Baek, L.AC
• Bajzath Rehabilitation Facility PC
• Joseph S Bajzath, D.C.
• Regina Bakshiyev, RD, CDN

• Acupuncturist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.