Active NPI
Shim Wellness Acupuncture
- Rehabilitation Clinic/Center
- Newburgh, NY
National Provider Identifier
1356995153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SHIM WELLNESS ACUPUNCTURE
- Doing business as
- Shim Wellness Acupuncture
- Practice address
- 280 Broadway Ste 2
Newburgh, NY 12550-8203 - Phone
- (845) 561-3214
- Fax
- (845) 565-0319
- NPI assigned
- Jul 30, 2019
- Last updated
- Jul 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mi Jung Shim
- Title
- Acupuncturist
- Phone
- (347) 921-0882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
280 Broadway Ste 2
Newburgh, NY 12550-8203
Mailing address
280 Broadway Ste 2
Newburgh, NY 12550-8203
Phone (845) 561-3214
Other names 1
- SHIM WELLNESS ACUPUNCTURE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564444800000",
"number": "1356995153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 BROADWAY STE 2",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125508203",
"telephone_number": "845-561-3214",
"fax_number": "845-565-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 BROADWAY STE 2",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125508203",
"telephone_number": "845-561-3214",
"fax_number": "845-565-0319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIM WELLNESS ACUPUNCTURE",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-30",
"last_updated": "2019-07-30",
"status": "A",
"authorized_official_last_name": "SHIM",
"authorized_official_first_name": "MI JUNG",
"authorized_official_title_or_position": "ACUPUNCTURIST",
"authorized_official_telephone_number": "347-921-0882"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SHIM WELLNESS ACUPUNCTURE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.