Spa Dew

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

SPA DEW

Practice address

1605 Center Ave
Fort Lee, NJ 07024-4701

Phone

(201) 461-0949

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jina SeoNPI 1114612769

Title

President

Phone

(201) 461-0949

Specialties & licenses 1

Addresses

Other names 1

• Dew Beauty & Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jina Seo, L.AC

  • Acupuncturist
  • Fort Lee, NJ
  • NPI 1114612769
  NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1376322198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 CENTER AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 CENTER AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244701",
            "telephone_number": "201-461-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA DEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "JINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-461-0949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dew Beauty & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sung Hae Son, PHARMD
• Ho Jung Song
• Huiyoun Song
• Jennifer Song, LMSW
• Arthur A Sonnenblick, DMD
• Claudette K Spenst, MSW., LSW
• Spine Care Chiropractic Center, P.C.
• Spinecare Chiropractic Clinic, PC
• Spini Sol Levante PC
• Sport Rehab Chiro P.C.

• Health Maintenance Organization in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Health Maintenance Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.