Individual provider Active NPI

Yung Jun Cho, L.AC.

  • Acupuncturist
  • Nanuet, NY
National Provider Identifier
1659775773
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005391-1 Issued in NY
Practice address
221 S Middletown Rd
Nanuet, NY 10954-3325
Phone
(917) 902-5995
NPI assigned
Oct 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005391-1 NY Primary
Acupuncturist 171100000X AK001125 PA

Addresses

Primary practice location

221 S Middletown Rd
Nanuet, NY 10954-3325

Mailing address

248 Euclid Ave # 2
Ridgefield Park, NJ 07660-1538
Phone (917) 902-5995

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

State licenses

LicenseStateTypeSpecialty
005391-1NYMDAcupuncturist
AK001125PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Modu Acupuncture, P.C. Acupuncturist CurrentSince Feb 27, 2022 Accepting new patients
One Peace Acupuncture, P.C. Acupuncturist CurrentSince Apr 14, 2024 Accepting new patients
Advance Chiropractic P C PastSince Jan 17, 2022 Accepting new patients

Locations

221 S Middletown Rd
Nanuet, NY 10954
Phone (845) 623-0026

Organizations & group practices 3

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1659775773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 EUCLID AVE # 2",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601538",
            "telephone_number": "917-902-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543325",
            "telephone_number": "917-902-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "YUNG JUN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2022-01-04",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005391-1",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.