Bloom Acupuncture Wellness PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BLOOM ACUPUNCTURE WELLNESS PC

Practice address

440 Sylvan Ave Ste 134
Englewood Cliffs, NJ 07632-2727

Phone

(201) 408-5915

NPI assigned

Jan 6, 2020

Organization subpart

No

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

Authorized official

Name

Sungmun JungNPI 1972804128

Title

Owner

Phone

(201) 408-5915

Specialties & licenses 1

Addresses

Other names 1

• Bloom Acupuncture Wellness PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sung Mun Jung, L.AC

  • Acupuncturist
  • Englewood Cliffs, NJ
  • NPI 1972804128
  NPD Authorized official

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1659910719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SYLVAN AVE STE 134",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SYLVAN AVE STE 134",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322727",
            "telephone_number": "201-408-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM ACUPUNCTURE WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SUNGMUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-408-5915"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Acupuncture Wellness PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.