Organization Active NPI

Dodam Acupuncture and Physical Therapy PLLC

  • Pain Clinic/Center
  • Flushing, NY
National Provider Identifier
1528898574
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
DODAM ACUPUNCTURE AND PHYSICAL THERAPY PLLC
Practice address
3622 Parsons Blvd
Flushing, NY 11354-5932
Phone
(917) 563-5820
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Chang Joon Won, DOM
Title
President
Phone
(917) 407-5982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

3622 Parsons Blvd
Flushing, NY 11354-5932

Mailing address

3622 Parsons Blvd
Flushing, NY 11354-5932

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": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1528898574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545932",
            "telephone_number": "917-563-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODAM ACUPUNCTURE AND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "JOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-407-5982",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "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 Aug 5, 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.

Verify at the official NPI Registry.