Organization Active NPI

East Billow Acupuncture PC

  • Acupuncturist
  • Teaneck, NJ
National Provider Identifier
1336897214
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
EAST BILLOW ACUPUNCTURE PC
Practice address
517 Cedar LN FL 2
Teaneck, NJ 07666-1710
Phone
(201) 347-9393
Fax
(201) 347-9392
NPI assigned
Mar 10, 2022
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Mr. Soungkyum LeeNPI 1427526722
Title
Acupuncturist
Phone
(201) 364-1066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

517 Cedar LN FL 2
Teaneck, NJ 07666-1710

Mailing address

517 Cedar LN FL 2
Teaneck, NJ 07666-1710
Phone (201) 347-9393

Other practice location 1

570 Piermont Rd Ste A8
Closter, NJ 07624-3100
Phone (201) 564-7888

National Provider Directory

National Provider Directory

Locations

570 Piermont Rd
Ste A8
Closter, NJ 07624
Phone (201) 564-7888

517 Cedar Ln
#2
Teaneck, NJ 07666
Phone (201) 347-9393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1336897214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 CEDAR LN FL 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661710",
            "telephone_number": "201-347-9393",
            "fax_number": "201-347-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CEDAR LN FL 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661710",
            "telephone_number": "201-347-9393",
            "fax_number": "201-347-9392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 Piermont Rd Ste A8",
            "address_purpose": "LOCATION",
            "city": "Closter",
            "state": "NJ",
            "postal_code": "076243100",
            "country_code": "US",
            "telephone_number": "201-564-7888",
            "fax_number": "201-479-0312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST BILLOW ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOUNGKYUM",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "201-364-1066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.