Active NPI
Dohyun Kim, L.AC., D.A.O.M.
- Acupuncturist
- Hackensack, NJ
National Provider Identifier
1528390614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00046000
- Practice address
- 75 Essex St
Suite 222
Hackensack, NJ 07601-4036 - Phone
- (201) 546-7290
- Fax
- (201) 678-2929
- NPI assigned
- Feb 1, 2010
- Last updated
- Aug 12, 2016
- Sex
- Male
- 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 | 25MZ00046000 | NJ | Primary |
Addresses
Primary practice location
75 Essex St
Suite 222
Hackensack, NJ 07601-4036
Mailing address
75 Essex St
Suite 222
Hackensack, NJ 07601-4036
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 |
|---|---|---|---|
| 25MZ00046000 | NJ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1528390614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 ESSEX ST",
"address_2": "SUITE 222",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076014036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ESSEX ST",
"address_2": "SUITE 222",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076014036",
"telephone_number": "201-546-7290",
"fax_number": "201-678-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DOHYUN",
"name_prefix": "Mr.",
"credential": "L.AC., D.A.O.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-01",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00046000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.