Pure Mind Acupuncture& Herb, P.C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25MZ00045000 Issued in NJ

Legal business name

PURE MIND ACUPUNCTURE& HERB, P.C

Practice address

2500 Lemoine Ave
Suite #301
Fort Lee, NJ 07024-6232

Phone

(201) 363-0233

NPI assigned

May 18, 2012

Last updated

May 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ji Yong Kim

Title

President

Phone

(609) 392-0700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1700146115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 REV S HOWARD WOODSON JR WAY # 4",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE",
            "address_2": "SUITE #301",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246232",
            "telephone_number": "201-363-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MIND ACUPUNCTURE& HERB, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JI YONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-392-0700"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MZ00045000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Protect Medical Transportation Services
• Pure Health Care LLC
• Pureen USA
• Weronika M Putyra
• Shauna Quevedo, FNP-BC
• Humaira Quraishi, ND, MS
• Sara M. Rabinovich, OT

• Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.