Active NPI
Jin Hwangbo, L.AC.
- Acupuncturist
- Yonkers, NY
National Provider Identifier
1356650733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004290
- Practice address
- 984 N Broadway
Suite L-09
Yonkers, NY 10701-1318 - Phone
- (914) 476-8600
- Fax
- (914) 476-0240
- NPI assigned
- Oct 1, 2010
- Last updated
- Nov 27, 2012
- 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 | 004290 | NY | Primary |
Addresses
Primary practice location
984 N Broadway
Suite L-09
Yonkers, NY 10701-1318
Mailing address
2054 Central Park Ave
Yonkers, NY 10710-1829
Phone (914) 237-2148
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 |
|---|---|---|---|
| 004290 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1356650733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2054 CENTRAL PARK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107101829",
"telephone_number": "914-237-2148",
"fax_number": "914-237-2148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 N BROADWAY",
"address_2": "SUITE L-09",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011318",
"telephone_number": "914-476-8600",
"fax_number": "914-476-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANGBO",
"first_name": "JIN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-01",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.