Active NPI
Myong Ok Om, DIPL. O.M.
- Acupuncturist
- Kearny, NJ
National Provider Identifier
1568809481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00099600
- Practice address
- 655 Kearny Ave Ste 102
Kearny, NJ 07032-2942 - Phone
- (201) 913-3977
- NPI assigned
- Jun 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Acupuncturist | 171100000X | 005016 | NY | |
| Acupuncturist | 171100000X | 25MZ00099600 | NJ | Primary |
Addresses
Primary practice location
655 Kearny Ave Ste 102
Kearny, NJ 07032-2942
Mailing address
300 Winston Dr Apt 615
Cliffside Park, NJ 07010-3213
Phone (201) 913-3977
Other names 1
- Ms. Nomi Om
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | laptop | Direct |
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 |
|---|---|---|---|
| 005016 | NY | MD | Mental Health Counselor |
| 25MZ00099600 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koam Acupuncture & Herbs | Acupuncturist | Current | Accepting new patients |
| Ti Hong Acupuncture PLLC | Acupuncturist | Current | Accepting new patients |
| Be Well Om Acupuncture PLLC | Acupuncturist | Current | Accepting new patients |
| Be Well Oriental Medicine | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Acupuncturist
- Kearny, NJ
- NPI 1174989719
-
- Acupuncturist
- Bayonne, NJ
- NPI 1689286007
-
- Acupuncturist
- New York, NY
- NPI 1871250746
-
- Acupuncturist
- New York, NY
- NPI 1235806464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1568809481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WINSTON DR APT 615",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103213",
"telephone_number": "201-913-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 KEARNY AVE STE 102",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070322942",
"telephone_number": "201-913-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OM",
"first_name": "MYONG OK",
"name_prefix": "Ms.",
"credential": "DIPL. O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-01",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005016",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00099600",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "laptop",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "655 Kearny Ave Ste 102",
"city": "Kearny",
"state": "NJ",
"country_code": "US",
"postal_code": "070322942",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NOMI",
"last_name": "OM",
"prefix": "MS.",
"credential": "DIPL. O.M.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kearny, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.