PM Medical Acu. PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00016800 Issued in NJ

Legal business name

PM MEDICAL ACU. PC

Practice address

11 New Street
Suite #1
Englewood Cliffs, NJ 07632

Phone

(201) 731-3009

Fax

(201) 731-3008

NPI assigned

Dec 4, 2017

Last updated

Dec 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Doam Kim, L.ACNPI 1154655249

Title

Owner

Phone

(201) 731-3009

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Doam Kim, L.AC.

  • Acupuncturist
  • Fort Lee, NJ
  • NPI 1154655249
  NPD (past) Authorized official

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1497260111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NEW STREET",
            "address_2": "SUITE #1",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-731-3009",
            "fax_number": "201-731-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEW STREET",
            "address_2": "SUITE #1",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-731-3009",
            "fax_number": "201-731-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM MEDICAL ACU. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-731-3009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00016800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.