Active NPI
Ga Hyun Moon, L.AC
- Acupuncturist
- Wayne, NJ
National Provider Identifier
1679349120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00168500
- Practice address
- 155 US Highway 46
Wayne, NJ 07470-6831 - Phone
- (862) 666-9285
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00168500 | NJ | Primary |
Addresses
Primary practice location
155 US Highway 46
Wayne, NJ 07470-6831
Mailing address
155 US Highway 46 Ste 300
Wayne, NJ 07470-6836
Phone (862) 666-9285
Other practice location 1
35 Journal Square Plaza
Unit 215
Jersey City, NJ 07306
Phone (862) 666-9285
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00168500 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Integrative Health & Wellness, PC | Current | Accepting new patients |
Locations
155 US Highway 46
Ste 300
Wayne, NJ 07470
Phone (862) 666-9285
Organizations & group practices 1
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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Wayne, NJ
- NPI 1306291786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1679349120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 US HIGHWAY 46 STE 300",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706836",
"telephone_number": "862-666-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 US HIGHWAY 46",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706831",
"telephone_number": "862-666-9285"
}
],
"practiceLocations": [
{
"address_1": "35 Journal Square Plaza",
"address_2": "Unit 215",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "07306",
"country_code": "US",
"telephone_number": "862-666-9285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOON",
"first_name": "GA HYUN",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00168500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.