Organization Active NPI

Contemporary Integrative Care Acupuncture, PLLC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1679945422
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5203-1 Issued in NY
Legal business name
CONTEMPORARY INTEGRATIVE CARE ACUPUNCTURE, PLLC
Practice address
39 E 78TH St
Suite 304
New York, NY 10075-0213
Phone
(646) 549-9620
NPI assigned
Oct 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Dr. Jihyuk Park, M.S., L.AC.NPI 1851634448
Title
Ceo
Phone
(646) 549-9620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 5203-1 NY Primary

Addresses

Primary practice location

39 E 78TH St
Suite 304
New York, NY 10075-0213

Mailing address

2050 Central Rd
Apt 701
Fort Lee, NJ 07024-7333
Phone (646) 549-9620

National Provider Directory

National Provider Directory

Locations

39 E 78th St
Ste 304
New York, NY 10075
Phone (646) 549-9620

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1679945422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CENTRAL RD",
            "address_2": "APT 701",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247333",
            "telephone_number": "646-549-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E 78TH ST",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750213",
            "telephone_number": "646-549-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY INTEGRATIVE CARE ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JIHYUK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-549-9620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "5203-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.