Jungmin Han

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00128500 Issued in NJ

Practice address

725 River Rd Ste 117
Edgewater, NJ 07020-1170

Phone

(646) 642-1236

NPI assigned

May 6, 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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aqua Acupuncture New York PC

  • Acupuncturist
  • Long Island City, NY
  • NPI 1497620629
  NPD Authorized official

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1356925291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 QUEENS BLVD APT 7H",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 117",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201170",
            "telephone_number": "646-642-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JUNGMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00128500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Andrea Gutierrez
• Shawn Gutman, DDS, MS
• Daniel Han, DC
• Haejin Han, OD
• Jessie A Han, D.D.S
• Heller Family Chiropractic PC
• Brian Heller, D.C.
• Migdonia Hidalgo, R.PH, LAC, MSOM
• Asante Hohn, PT, DPT
• Holly C Foote, DO, LLC

• Acupuncturist in Edgewater, NJ
• Providers in Edgewater, 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 6, 2021; 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.