Organization Active NPI

Shim Wellness Acupuncture

  • Rehabilitation Clinic/Center
  • Newburgh, NY
National Provider Identifier
1356995153
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.