Organization Active NPI

Koam Acupuncture & Herbs

  • Acupuncturist
  • Bayonne, NJ
National Provider Identifier
1689286007
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
KOAM ACUPUNCTURE & HERBS
Practice address
901 Avenue C
Bayonne, NJ 07002-3012
Phone
(201) 913-3977
Fax
(888) 534-5993
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Nomi Om
Title
Manager
Phone
(201) 913-3977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

901 Avenue C
Bayonne, NJ 07002-3012

Mailing address

300 Winston Dr Apt 615
Cliffside Park, NJ 07010-3213
Phone (201) 913-3977

National Provider Directory

National Provider Directory

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1689286007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WINSTON DR APT 615",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103213",
            "telephone_number": "201-913-3977",
            "fax_number": "888-534-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023012",
            "telephone_number": "201-913-3977",
            "fax_number": "888-534-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOAM ACUPUNCTURE & HERBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "OM",
        "authorized_official_first_name": "NOMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-913-3977"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.