Individual provider Active NPI

Heangho Jong

  • Acupuncturist
  • Englewood, NJ
National Provider Identifier
1437506201
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ001142000 Issued in NJ
Practice address
20 Nordhoff PL
Englewood, NJ 07631-4811
Phone
(201) 567-9399
NPI assigned
May 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ001142000 NJ Primary

Addresses

Primary practice location

20 Nordhoff PL
Englewood, NJ 07631-4811

Mailing address

417 Morris Ave Apt 17
Summit, NJ 07901-1503
Phone (201) 595-0404

Other names 1

  • Hudson Jong Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ001142000NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Jong Acupuncture LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1437506201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MORRIS AVE APT 17",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011503",
            "telephone_number": "201-595-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORDHOFF PL",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314811",
            "telephone_number": "201-567-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONG",
        "first_name": "HEANGHO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ001142000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUDSON",
            "last_name": "JONG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.