Active NPI
Kyeongmin An, L.AC
- Acupuncturist
- New York, NY
National Provider Identifier
1477310092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 007477
- Practice address
- 120 E 56TH St RM 330
New York, NY 10022-3751 - Phone
- (201) 494-7532
- NPI assigned
- Feb 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 007477 | NY | Primary |
Addresses
Primary practice location
120 E 56TH St RM 330
New York, NY 10022-3751
Mailing address
270 Marin Blvd Apt 14H
Jersey City, NJ 07302-3682
Phone (646) 753-0025
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007477 | NY | MD | Driving and Community Mobility Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1477310092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 MARIN BLVD APT 14H",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023682",
"telephone_number": "646-753-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E 56TH ST RM 330",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100223751",
"telephone_number": "201-494-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AN",
"first_name": "KYEONGMIN",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "007477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.