Loving Light Acupuncture and Herb

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00075000 Issued in NJ

Legal business name

LOVING LIGHT ACUPUNCTURE AND HERB

Practice address

460 Bergen Blvd Ste 304
Palisades Park, NJ 07650-2345

Phone

(201) 469-6899

NPI assigned

May 29, 2014

Last updated

May 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daehwan JiNPI 1063824290

Title

Manager

Phone

(201) 469-6899

Specialties & licenses 1

Addresses

Tax ID family

Dana Acupuncture Pain Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dana Acupuncture Pain Clinic

  • Acupuncturist
  • Fort Lee, NJ
  • NPI 1912270851
  NPD tax ID

Locations

Practitioners 1

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.

• Daehwan Ji, L.AC

  • Acupuncturist
  • Palisades Park, NJ
  • NPI 1063824290
  Authorized official Same address or phone

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1356753081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BERGEN BLVD STE 304",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BERGEN BLVD STE 304",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502345",
            "telephone_number": "201-469-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING LIGHT ACUPUNCTURE AND HERB",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "JI",
        "authorized_official_first_name": "DAEHWAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-469-6899"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00075000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Liguori
• Daniel Lim
• Hyung Jun Lim, DPT
• Sara Marie Lin
• LML Supermarkets Incorporated
• M & M Group Inc
• Vindra Marsoubian
• Martin Sung Kim, O.D., Inc.
• Martin Sung Kim, O.D., Inc.
• Thyparampil M Mathew, LCSW

• Acupuncturist in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.