Individual provider Active NPI

Jacob J. Zong, LAC

  • Acupuncturist
  • Lynbrook, NY
National Provider Identifier
1477823052
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
001721 Issued in NY
Practice address
121A Broadway
Lynbrook, NY 11563-3234
Phone
(516) 500-3678
NPI assigned
Jan 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X
Acupuncturist 171100000X 001721 NY Primary

Addresses

Primary practice location

121A Broadway
Lynbrook, NY 11563-3234

Mailing address

121A Broadway
Lynbrook, NY 11563-3234
Phone (516) 500-3678

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
001721NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JCB Acupuncture PC Acupuncturist CurrentSince Oct 10, 2021 Accepting new patients

Locations

121A Broadway
Lynbrook, NY 11563
Phone (516) 500-3678

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": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1477823052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121A BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633234",
            "telephone_number": "516-500-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121A BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633234",
            "telephone_number": "516-500-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONG",
        "first_name": "JACOB",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-12",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.