Grand Acupuncture and Herbs, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00118700 Issued in NJ

Legal business name

GRAND ACUPUNCTURE AND HERBS, LLC

Practice address

30 Kinderkamack Rd FL 2
Oradell, NJ 07649-2615

Phone

(201) 265-2600

NPI assigned

May 27, 2017

Last updated

May 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jungyup SongNPI 1215382916

Title

Licensed Acupuncturist

Phone

(201) 265-2600

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jungyup Song

  • Acupuncturist
  • Oradell, NJ
  • NPI 1215382916
  NPD (past) Authorized official
• Myungseok Song

  • Acupuncturist
  • Oradell, NJ
  • NPI 1801298328
  NPD (past)

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

{
    "created_epoch": "1495843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495843200000",
    "number": "1649708140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KINDERKAMACK RD FL 2",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KINDERKAMACK RD FL 2",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492615",
            "telephone_number": "201-265-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND ACUPUNCTURE AND HERBS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-27",
        "last_updated": "2017-05-27",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "JUNGYUP",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "201-265-2600"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004738",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14986",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00118700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Surgical Services PC
• Jessica Goas, BCBA
• Tslil Golan, RD, CLC
• Paula Goldfisher, LCSW
• Ricki Ellen Gorman, CNM
• Sandra L Greco, OT
• Fiona Gupta, M.D.
• Antonella Maria Guttilla, M.A., LPC
• Guy Siraki
• H. Craig Froonjian

• Acupuncturist in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.