Won Kyung Keum, C.A.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00045400 Issued in NJ

Practice address

137 Park Ave
Plainfield, NJ 07060-1203

Phone

(732) 718-9530

NPI assigned

Mar 22, 2011

Last updated

Mar 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1437458908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 LIBERTY ST",
            "address_2": "UNIT 28",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431763",
            "telephone_number": "732-718-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601203",
            "telephone_number": "732-718-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUM",
        "first_name": "WON KYUNG",
        "name_prefix": "Mrs.",
        "credential": "C.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00045400",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002765",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.