NPIMap

Individual provider Active NPI

Sung Jae Hong, LAC

  • Acupuncturist
  • Oradell, NJ
National Provider Identifier
1639483472
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00019800 Issued in NJ
Practice address
800 Kinderkamack Rd Ste 207N
Oradell, NJ 07649-1546
Phone
(201) 313-0501
Fax
(877) 500-5573
NPI assigned
Aug 4, 2010
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00019800 NJ Primary

Addresses

Primary practice location

800 Kinderkamack Rd Ste 207N
Oradell, NJ 07649-1546

Mailing address

800 Kinderkamack Rd Ste 207N
Oradell, NJ 07649-1546
Phone (201) 313-0501

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

LicenseStateTypeSpecialty
25MZ00019800NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinderkamack Physical Therapy PC PastSince Feb 1, 2017 Accepting new patients
Oradell Acupuncture & Herbs PC Acupuncturist Past Accepting new patients

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1639483472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KINDERKAMACK RD STE 207N",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491546",
            "telephone_number": "201-313-0501",
            "fax_number": "877-500-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KINDERKAMACK RD STE 207N",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491546",
            "telephone_number": "201-313-0501",
            "fax_number": "877-500-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "SUNG",
        "middle_name": "JAE",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00019800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.