Seonsook Kim

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00106900 Issued in NJ

Practice address

54 Shawnee TRL
Sparta, NJ 07871-1519

Phone

(973) 896-9601

Fax

(973) 729-6515

NPI assigned

Jun 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Three Treasures Acupuncture of New Jersey, LLC

  • Acupuncturist
  • Sparta, NJ
  • NPI 1740756444
  NPD (past) Authorized official

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1689088668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SHAWNEE TRL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711519",
            "telephone_number": "973-896-9601",
            "fax_number": "973-729-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SHAWNEE TRL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711519",
            "telephone_number": "973-896-9601",
            "fax_number": "973-729-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEONSOOK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00106900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Helen Kellam
• Heidi E Keller, PH.D.
• Stephanie Theresa Keller, DPT
• Brooke Anne Kennedy Cashion, L.P.C., L.C.A.D.C.
• Christina Kepler, PT
• Victoria Elizabeth Kish, LAC
• Nadia Anna Klapacz, PHARMD
• Dagmar Kloupar, MD
• Mary Beth Kneis, MSW
• Knoll View Corp

• Acupuncturist in Sparta, NJ
• Providers in Sparta, 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 6, 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.