Individual provider Active NPI

Ke Jin, L.AC

  • Acupuncturist
  • Clifton, NJ
National Provider Identifier
1619207271
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00071100 Issued in NJ
Practice address
1195 Main Ave
Clifton, NJ 07011-2242
Phone
(732) 823-7219
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00071100 NJ Primary

Addresses

Primary practice location

1195 Main Ave
Clifton, NJ 07011-2242

Mailing address

275 E Mount Pleasant Ave
Livingston, NJ 07039-3210
Phone (732) 823-7219

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acu-Art LLC Acupuncturist Current Accepting new patients
Jin'S Professional Acupuncture Group Acupuncturist CurrentSince Aug 9, 2019 Accepting new patients
Ke Jin Acupuncture Inc Acupuncturist Current Accepting new patients
Ke Jin'S Acupuncture & Herbal Clinic Acupuncturist Past Accepting new patients

Locations

1187 Main Ave
Ste 1C
Clifton, NJ 07011
Phone (732) 823-7219

209 S Livingston Ave
Ste 4
Livingston, NJ 07039
Phone (732) 823-7219

209 S Livingston Ave
Livingston, NJ 07039
Phone (973) 992-4171

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.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1619207271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E MOUNT PLEASANT AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393210",
            "telephone_number": "732-823-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112242",
            "telephone_number": "732-823-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "KE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00071100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.