Steven Jin, L.AC.
Individual provider Active NPI Acupuncturist · Ridgefield, NJ
NPI 1366969701 · NPPES record last updated May 15, 2022
Key facts
- NPI
- 1366969701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 25MZ00126300 (NJ)
- Practice address
- 709 Bergen Blvd Ste 2
Ridgefield, NJ 07657-1463 - Phone
- (201) 840-4130
- NPI assigned
- Aug 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005995 | NY | MD | Mental Health Counselor |
| 25MZ00126300 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acucenter | Acupuncturist | Past |
Accepting new patients |
| Acuandherb | Acupuncturist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005995 | NY | |
| Acupuncturist | 171100000X | 25MZ00126300 | NJ | Yes |
Addresses
Primary practice location
709 Bergen Blvd Ste 2
Ridgefield, NJ 07657-1463
Mailing address
709 Bergen Blvd Ste 2
Ridgefield, NJ 07657-1463
Phone (201) 707-6249
Other practice location 1
15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone (973) 944-2770
Other providers in Ridgefield, NJ
- Hongsok Hwang
- Institute of Back Testing & Rehab
- Julia Istratov
- Janus Acupuncture Care, P.C.
- Min-Beom Jin
- Johan Peguero
- Kristin Joson
- Jung F Wu MD PA
- Jy Lee Chiropractic LLC
- Mona Kahil
All providers in Ridgefield, NJ · Acupuncturist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.