Organization Active NPI

Acupunture One Wellness Center, LLC

  • Acupuncturist
  • Wayne, NJ
National Provider Identifier
1477014231
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ACUPUNTURE ONE WELLNESS CENTER, LLC
Practice address
600 Valley Rd Ste 101
Wayne, NJ 07470-3551
Phone
(732) 788-5504
NPI assigned
Mar 26, 2019
Last updated
Mar 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Min Jae Chung, LAC
Title
Acupuncturist
Phone
(732) 788-5504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

600 Valley Rd Ste 101
Wayne, NJ 07470-3551

Mailing address

101 Terrace Ave Apt 5D
Hasbrouck HTS, NJ 07604-2449

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1477014231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TERRACE AVE APT 5D",
            "city": "HASBROUCK HTS",
            "state": "NJ",
            "postal_code": "076042449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VALLEY RD STE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703551",
            "telephone_number": "732-788-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNTURE ONE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "MIN JAE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "732-788-5504",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.