Individual provider Active NPI

Hwija Teruko Kim

  • Acupuncturist
  • Mount Kisco, NY
National Provider Identifier
1447642947
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005457 Issued in NY
Practice address
153 E Main St Ste D5
Mount Kisco, NY 10549-2319
Phone
(914) 506-2128
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005457 NY Primary

Addresses

Primary practice location

153 E Main St Ste D5
Mount Kisco, NY 10549-2319

Mailing address

153 E Main St Ste D5
Mount Kisco, NY 10549-2319
Phone (914) 506-2128

Other practice location 1

450 Mamaroneck Ave Ste 413
Harrison, NY 10528-2430
Phone (914) 506-2128

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
005457NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Everwell Acupuncture by Teruko PLLC Acupuncturist CurrentSince Oct 6, 2019 Accepting new patients

Locations

450 Mamaroneck Ave
Ste 413
Harrison, NY 10528
Phone (914) 506-2128

153 E Main St
Ste D5
Mount Kisco, NY 10549
Phone (914) 506-2128

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1447642947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E MAIN ST STE D5",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492319",
            "telephone_number": "914-506-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E MAIN ST STE D5",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492319",
            "telephone_number": "914-506-2128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Mamaroneck Ave Ste 413",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NY",
            "postal_code": "105282430",
            "country_code": "US",
            "telephone_number": "914-506-2128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HWIJA",
        "middle_name": "TERUKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.