Active NPI
Chan Dong Cho, LAC
- Acupuncturist
- Flushing, NY
National Provider Identifier
1356625271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000606-1
- Practice address
- 14737 41St Ave
Flushing, NY 11355-1248 - Phone
- (718) 358-8378
- NPI assigned
- Oct 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 000606-1 | NY | Primary |
Addresses
Primary practice location
14737 41St Ave
Flushing, NY 11355-1248
Mailing address
14737 41St Ave
Flushing, NY 11355-1248
Phone (718) 358-8378
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000606 | NY | MD | Behavioral Analyst |
| 000606-1 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaesae Acupuncture PC | Acupuncturist | Current | Accepting new patients |
Locations
14737 41st Ave
Flushing, NY 11355
Phone (718) 358-8378
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 and National Provider Directory roles.
-
- Acupuncturist
- Flushing, NY
- NPI 1972200582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1356625271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14737 41ST AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113551248",
"telephone_number": "718-358-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14737 41ST AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113551248",
"telephone_number": "718-358-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "CHAN",
"middle_name": "DONG",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-11",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "000606-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.