NPIMap

Organization Active NPI

Greening Acupuncture PC

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1487224218
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
GREENING ACUPUNCTURE PC
Practice address
19904 47TH Ave Apt 1
Flushing, NY 11358-3955
Phone
(929) 373-5772
Fax
(914) 462-4372
NPI assigned
Jun 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Dr. Tae Jin Kim, LACNPI 1386028801
Title
President
Phone
(929) 373-5772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

19904 47TH Ave Apt 1
Flushing, NY 11358-3955

Mailing address

19904 47TH Ave Apt 1
Flushing, NY 11358-3955
Phone (929) 373-5772

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1487224218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19904 47TH AVE APT 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583955",
            "telephone_number": "929-373-5772",
            "fax_number": "914-462-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19904 47TH AVE APT 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583955",
            "telephone_number": "929-373-5772",
            "fax_number": "914-462-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENING ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAE JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-373-5772",
        "authorized_official_name_prefix": "Dr.",
        "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 Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.